Referral & Pre-Authorization Specialist

South Texas Health System Clinics; McAllen (TX); Vor Ort; USD 35.000 - 52.000; Vollzeit

Benefits dieser Stelle

Competitive compensation

Excellent health plans

401(K) with company match

Generous PTO

Zusammenfassung

Independence Physician Management (IPM) is seeking a Referral Specialist to schedule patient referrals, pre-authorize tests, and coordinate with providers and facilities. You will review clinical data to determine medical necessity and ensure services align with IPM’s mission and values.

The role emphasizes clear communication with clinics, patients, and hospitals, supporting efficient patient care and adherence to insurance requirements.

Qualifikationen

• High school diploma or GED required.
• Must maintain CPR certification.
• Minimum of two years of clinical experience.
• Knowledge of administrative and clerical procedures and systems.
• EMR Experience

Aufgaben

• Schedule referrals and pre-authorize tests/procedures.
• Communicate with patients, clinics, and hospitals.
• Review clinical data to report medical necessity to insurers.

Kenntnisse

CPR certification

Clinical experience

EMR Experience

Communication skills

Ausbildung

High school diploma or GED

Tools

Office software

Jobbeschreibung

Independence Physician Management (IPM) is seeking a Referral Specialist to schedule patient referrals, pre-authorize tests, and coordinate with providers and facilities. You will review clinical data to determine medical necessity and ensure services align with IPM’s mission and values.

The role emphasizes clear communication with clinics, patients, and hospitals, supporting efficient patient care and adherence to insurance requirements.