Abrar Admin

Sunset Health

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 Job Details
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  Description
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   Handle incoming clinical tasks, phone calls, and in-person requests, reviewing clinical history and obtaining notes for provider when needed; ensuring correct payer, CPT, and ICD-10 codes are on referral requisition.
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   All referrals are processed in a timely and efficient manner and according to the referral policies and procedures; insurance benefit and eligibility is confirmed prior to processing the referral, ensuring patient is assigned to a SH provider.
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   Arrange appointments with external and internal specialties, faxing referral requisition and any pertinent information.
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   Patients, or parent/legal guardian, are notified verbally regarding their appointment date, time, location, special instructions, and out-of-pocket expenses if applicable.
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   Follow up on referrals pending prior authorization/appointment is done at least weekly, documenting all efforts made in EHR.
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   Use of good time-management skills; contributing to increased productivity.
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   Actively participating in staff meetings and working toward accomplishing department goals and objectives; ability to work well with team members. Accomplishing related results as needed.
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   Statistics of all referrals processed are reported weekly to the Practice Manager.
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   Use multiple software systems for insurance verifications and referral processing purposes.
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   Demonstrates an understanding of organizational structure by utilization of appropriate channels of communication regarding all facets of departmental activities.
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   Use of computers, fax/copy machines for the exclusive uses of clinic business; keeping work areas clean and organized at all times.
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   Adhere to HIPAA confidential practices for patient information.
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   Adhering to all Sunset Health policies and procedures.
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   Performs other duties as assigned.
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Referral Specialist

Join Sunset Health and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Sunset Health

About Company

Referral Specialist