CLINIC REFERRAL SPECIALIST

Ozark Health, Inc.

Michigan

On-site

USD 42,000 - 64,000

Full time

4 days ago
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Benefits offered by this job

New Pay Scale
401K Matching
Generous PTO
Health Insurance
Dental Insurance
Vision Insurance
Paid Life Insurance
Voluntary Benefits

Job summary

Ozark Health, Inc. is seeking a Referral Specialist to coordinate and track patient referrals, diagnostic testing, and specialty appointments.

You will act as the key liaison between patients, providers, insurance companies, hospitals, and diagnostic facilities to ensure timely processing of referrals. The role requires strong organizational skills, attention to detail, and the ability to manage multiple referrals and deadlines while maintaining patient confidentiality.

Qualifications

  • Basic understanding of health insurance, referrals, and prior authorization processes.
  • Ability to use electronic health records and standard computer applications.
  • Strong organizational and time-management skills.
  • Excellent verbal and written communication skills.
  • Ability to maintain confidentiality and handle protected health information appropriately.
  • Ability to work independently while also functioning effectively as part of a healthcare team.
  • Ability to manage multiple priorities and meet established deadlines.

Responsibilities

  • Coordinate and track patient referrals, diagnostic testing, specialty appointments, and other services.
  • Serve as the primary liaison between patients, providers, insurance companies, and specialty offices.
  • Manage the referral process from receipt to scheduling, authorization, completion and reporting.
  • Collaborate with providers, nurses, front desk staff, billing staff and outside organizations to ensure continuity of care.

Skills

Health Insurance
Prior Authorization
Electronic Health Records
Communication Skills
Organizational Skills
Confidentiality
Teamwork
Deadline Management

Job description

Job Summary

Responsible for coordinating and tracking patient referrals, diagnostic testing, specialty appointments, and other services ordered by the medical providers. This position serves as the primary liaison between patients, providers, insurance companies, specialist offices, hospitals, diagnostic facilities, and other healthcare organizations to ensure referrals are processed accurately and timely.The Referral Specialist is responsible for managing the referral process from receipt of the provider's order through scheduling, authorization, completion, and receipt of applicable reports or records. This position requires excellent organization, attention to detail, communication skills, follow-through, and the ability to manage multiple referrals and deadlines simultaneously.The Referral Specialist works closely with providers, nurses, clinical staff, front desk staff, billing staff, and outside healthcare organizations to ensure continuity of patient care.

Requirements
  • Basic understanding of health insurance, referrals, and prior authorization processes.
  • Ability to use electronic health records and standard computer applications.
  • Strong organizational and time-management skills.
  • Excellent verbal and written communication skills.
  • Ability to maintain confidentiality and handle protected health information appropriately.
  • Ability to work independently while also functioning effectively as part of a healthcare team.
  • Ability to manage multiple priorities and meet established deadlines.
Full-Time Benefits
  • New Competitive Pay Scale
  • Matching 401K
  • Generous Paid Time Off
  • Health, Dental, and Vision Insurance
  • Paid Life Insurance
  • Voluntary Benefits Available

Ozark Health is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, veteran status or other classes protected by state or federal law.

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