Catholic Health Initiatives Referral Specialist in LOUISVILLE, Kentucky
KentuckyOne Health Medical Group
Position Type: Regular
Scheduled Hours per 2 week Pay Period: 80
Primary Location: KY > LOUISVILLE > KMG PCA 9520 ORMSBY STN RD
1st Shift, Full Time
JobSummary / Job Purpose
Referral Specialist works with patients requiring a referral, to ensure
patient’s referral needs are fulfilled for specialty service office
visits. Processes referrals, authorizations and pre-certifications for
patients, to ensure timely reimbursement.
verify, and process referrals, authorizations, and pre-certifications by
working closely with physician(s), patients, and payers.
information and answers patients' questions regarding their health care plan;
provide answers to billing and insurance clarification questions.
Set up appointments,
coordinate clinic visits, and any special arrangements such as transportation,
interpreter services, specialty care, etc.
Coordinate flow of
information between medical clinic and referral authorization department to
secure a valid referral for clinic patient.
documents communications and action into the system, as appropriate.
and patient when referral is denied, or if additional information is needed.
Develop and maintain
database of referral physician offices preferred by each physician within the
Manager with complaint resolution and solutions related to patient referrals.
Perform other duties as assigned by the practice
manager or physician
JobRequirements / Qualifications
Education/ Accreditation / Licensure (required & preferred) : High School diploma
or equivalent required
Experience(required and preferred): 2 years of progressively responsible related experience in a
healthcare environment required
Job Professional Non-Clinical
Primary Location KENTUCKY-LOUISVILLE-KMG PCA 9520 ORMSBY STN RD
Daily Schedule 1
Scheduled Hours per 2-week Pay Period 80
Weekends Required None
Req ID: 2018-R0192381
We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.