Job Summary
We are seeking a dedicated and detail-oriented Referral Specialist to join our healthcare team. The ideal candidate will play a crucial role in managing patient referrals, ensuring that all necessary documentation is completed accurately and in a timely manner. This position requires a strong understanding of medical terminology, coding, and insurance verification processes. The Referral Specialist will work closely with medical offices to facilitate seamless patient care while adhering to HIPAA regulations.
Responsibilities
- Manage and process patient referrals to specialists, ensuring all necessary information is collected and submitted.
- Verify insurance coverage and eligibility for referred services.
- Maintain accurate medical records and documentation in compliance with HIPAA standards.
- Utilize ICD-10 coding for accurate diagnosis reporting.
- Communicate effectively with patients, healthcare providers, and insurance companies to coordinate care.
- Assist in resolving any issues related to referrals or insurance claims.
- Stay updated on managed care policies and procedures to ensure compliance.
- Provide support for medical coding tasks as needed within the office.
Qualifications
- Proven experience in a medical office or dental office setting preferred.
- Strong knowledge of medical terminology and coding practices, including ICD-10.
- Familiarity with HIPAA regulations and patient privacy standards.
- Experience with insurance verification processes is highly desirable.
- Excellent organizational skills with attention to detail.
- Strong communication skills, both verbal and written.
- Ability to work independently as well as part of a collaborative team environment.
- Proficiency in using electronic health record (EHR) systems is an advantage.
Join our team as a Referral Specialist and contribute to providing exceptional care for our patients while enhancing your professional skills in the healthcare field.
Job Type: Full-time
Pay: From $24.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Experience:
- DME: 1 year (Required)
- Customer service: 1 year (Preferred)
- Medical terminology: 1 year (Preferred)
Ability to Commute:
- Blue Bell, PA 19422 (Required)
Ability to Relocate:
- Blue Bell, PA 19422: Relocate before starting work (Required)
Work Location: In person
