Catholic Health Initiatives Referral Specialist in LOUISVILLE, Kentucky

Referral Specialist

Description

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

The

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.

Key Responsibilities

Gather,

verify, and process referrals, authorizations, and pre-certifications by

working closely with physician(s), patients, and payers.

Communicate detailed

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.

Enter referrals,

documents communications and action into the system, as appropriate.

Notify physician(s)

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

clinic.

Assist Practice

Manager with complaint resolution and solutions related to patient referrals.

Perform other duties as assigned by the practice

manager or physician

Qualifications

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.