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Referral Representative (51844)

HealthLinc Inc

  • South Bend, IN
  • 25 days ago

    Highlights

    As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).

    Numbers & Facts

    LocationSouth Bend, IN

    Description

    As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director.

    JOB RESPONSIBILITIES:

    • Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.
    • Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.
    • Completes referral information for patients as requested by the Providers.
    • Maintains and updates referral resource binder.
    • Manages open referral orders by finding documents and follows up with all parties involved.
    • Assists with patient phone calls and questions.
    • Follows up with specialty clinics to coordinate patients medical information flow.
    • Maintains accurate and timely documentation.
    • Obtain prior authorization for specific testing.
    • All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
    • Perform other duties as assigned.

    REQUIRED QUALIFICATIONS:

    Education/Training

    • High school diploma or equivalent
    • Some college (not required but highly preferred)

    Experience

    • At least 1-2 years of experience in a medical administrative position
    • At least 1-2 years of experience in a customer service position

    Skills/Job Requirement

    • Strong organizational and time management skills
    • Strong customer service skills
    • Proven ability to work well in a team environment
    • Excellent verbal and written communication skills
    • Proven experience with basic medical terminology (not required but highly preferred)
    • Ability to follow HealthLinc policies and procedures

    Technology Skills

    • Operate a multi-line phone system and other office equipment including printers, fax machines, etc.
    • Basic computer skills (Microsoft Office, EHR, online sources, etc.)

    DIRECT SUPERVISION:

    • N/A

    REQUIRED TRAINING:

    • All assigned Relias training

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