Referral Specialist (LPN or CMA)
Referral Specialist (LPN or CMA)
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
UnityPoint Health
Referral Specialist
0.9 FTR (36 hours/week) Full time benefits
Monday Friday Day time hours
Manage all facets of the patient referral process. The scope of the referral process begins with receipt from the provider through to the communication with the patient. Responsibilities include but are not limited to obtaining precertification or priorauthorizations scheduling the visit with specialist or outpatient services completion of documentation with the electronic medical record (EMR) and communicating referral information to referring offices and to the patient.
Why UnityPoint Health
At UnityPoint Health you matter. Were proud to be recognized as a Top 150 Place to Work in Healthcare by Beckers Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities no matter what life stage youre in. Here are just a few:
- Expect paid time off parental leave 401K matching and an employee recognition program.
- Dental and health insurance paid holidays short and longterm disability and more. We even offer pet insurance for your fourlegged family members.
- Early access to earned wages with Daily Pay tuition reimbursement to help further your career and adoption assistance to help you grow your family.
With a collective goal to champion a culture of belonging where everyone feels valued and respected we honor the ways people are unique and embrace what brings us together.
And we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
Coordination of Patient Appointments & Authorizations
- Coordinates appointments and relays authorization information to scheduling staff of specialist or outpatient service offices as requested
- Completes appropriate forms or requisitions needed for referrals or testing including appropriate CPT/ICD10 coding
- Provides appropriate and timely documentation in the patients EMR using standardized workflows and processes.
- Builds and maintains positive working relationships with all contacts
- Acts as a liaison between UnityPoint and all referral sources
Correspondence with Patients
- Notifies patient of appointment details via telephone MyChart and letter.
- Ensure patients are informed of scheduled tests/procedures.
- Reinforces instructions and explanations of tests/procedures to patients per protocol
- Utilizes exemplary customer service skills with every patient interaction
Obtain PreCertifications and Prior Authorizations
- Obtains insurance precertifications and prior authorizations for office procedures diagnostic testing and imaging for patients
- Coordinates precerts and authorization processes with scheduling staff so appointments can be made in timely manner
- Obtains any and all pertinent clinic health information from provider clinical staff and/or EMR to process authorizations referrals and precertifications.
- Verifies demographic information including insurance when scheduling and/or obtaining precertifications
- Monitors outstanding authorization requests and initiates followup of outstanding authorizations in a timely manner
- Maintains current knowledge of payer specific requirements of prior authorizations by attending virtual workshops researching reading newsletters
Qualifications
Education:High School diploma or equivalent. Graduate of accredited medical assistant and/or LPN nursing program preferred.
Experience:23 years previous experience in medical field. Basic knowledge of medical terminology anatomy and physiology. Experience with insurance verification/preauthorizations Basic knowledge of Current Procedural Terminology (CPT) and International Classification of Disease (ICD10) coding is preferred.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
