Referral Specialist I
Referral Specialist I
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Salary Not Disclosed
1 Vacancy
Job Description
Overview
Dignity Healths Pacific Central Coast Health Centers (PHC) is a non-profit Community clinic organization comprised of more than 40 health centers located primarily from Ventura to Templeton spanning the coast. Our experienced physicians and advanced practice providers offer a wide range of primary and specialty care services. PHC is a part of Dignity Health Central Coasts award-winning network of outstanding hospitals imaging centers laboratories and post-acute services.
Responsibilities
The Referral Specialist serves as the liaison for patients and physicians while providing education to the patients regarding insurance coverage benefits and guidelines. Works with patients requiring a referral
to ensure patients referral needs are fulfilled for specialty service office visits ancillary testing and/or surgical procedures. Processes referrals authorizations and pre-certifications to ensure proper patient
care is met. Performs a wide range of administrative duties to include but not limited to; verification of benefits maintain ongoing tracking; gathering appropriate documentation on referrals to promote team
awareness and guarantee patient safety; contacting insurance companies to ensure prior approval requirements are met and regularly updating the patients primary care chart so it is up to date with
information on specialist consults and communication from all inhouse and outside parties.
Qualifications
-1-year related experience in a healthcare environment -History in patient scheduling/registration insurance verification and referral coordination
-Strong customer service focus
-Resourcefulness in problem solving
-Effective verbal and written communication skills
-Teamwork orientation
-Organized record keeping
-Able to take and follow through with delegated tasks and accountability
High School Diploma/GED
Required Experience:
Unclear Seniority
Employment Type
Unclear
