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Referral Specialist - Front Office Specialty Scheduling - PRN

Indiana University Health -
Muncie, IN

Apply Now

Job Details

Part-time

Qualifications

Appeals
Medical insurance coverage verification
Medical scheduling
High school diploma or GED
Pre-authorization review for utilization management
Medical insurance appeals management
Patient registration
Medical billing regulations compliance
Insurance claims appeal handling
Medical terminology

Full Job Description

Referral Specialist - Front Office Specialty Scheduling - PRN

Job Description

Overview

Position is PRN - coverage for vacations or call ins. Expectation is 16-32 hours/month

Collaborates with physicians, patients, and insurance companies to pre-certify medical services and procedures in order to deliver quality medical care in the most cost effective manner. Serves as pivotal point for communication among these parties. Provides assistance in utilization management and related duties by working collaboratively with the multidisciplinary team to achieve desired clinical, service and cost outcomes. Ensures that patients presenting for treatment obtains authorization from third party payers in order to expedite the receipt of full and timely reimbursement. Provides valuable information for consideration in clinical decision-making. Promotes quality patient care and to prevent costly payment denials and reduce the institution's financial risk.

Key Responsibilities:

Patient experience with referral review and scheduling appropriately with correct providers and resources
Professional Phone Skills
Working as a team to cover all front office duties – faxing, managing messaging, registration check in , insurance reviews,
Positive demeanor
Quick learner or previous Cerner experience

Qualifications:

Must have medical Office experience
Must have experience with provider scheduling
Cerner skills a plus

Requirements:

Requires High School diploma or equivalent.
Requires 2-4 years of relevant experience.
Minimum one-year medical office experience or combination of extensive customer service work experience and education in insurance verification, patient registration, and medical terminology.
Requires working knowledge of payer billing requirements, regulations, and the third party appeal and denial process.

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Indiana University Health is Indiana’s most comprehensive health system, with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. Our partnership with the Indiana University School of Medicine gives our team members access to the very latest science and the very best training, advancing care for all. We’re looking for team members who share the things that matter most to us. People who are inspired by challenging and meaningful work for the good of every patient. People who are compassionate and serve with a purpose. People who aspire to excellence every day. People who are always ready to apply themselves.

Apply Now

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receptionist jobs in muncie in

Referral Specialist - Front Office Specialty Scheduling - PRN

Front Desk Clerk / 3pm-11pm

Administrative Assistant

Office Administrator

Administrative Coordinator

Bilingual Patient Service Representative (PSR)

Hotel Front Desk :Evening Shifts

HES Front Office Secretary/Title I Clerk

Compliance Clerk

Hotel Front Desk Receptionist (PLEASE APPLY IN PERSON)

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