Referral Specialist

Bamboo Family Clinic, LLC; Henderson (NV); On-site; USD 22,000 - 30,000; Part time

Job summary

Bamboo Family Clinic, LLC in Henderson, NV is seeking a motivated Referral Specialist to join our team. You will process insurance authorizations, verify coverage, and manage referrals and medical records with precision and courtesy.

The ideal candidate has at least one year in a medical office, strong data entry and typing skills, knowledge of HIPAA, and reliable transportation. This is a part-time role with potential progression to full time.

Qualifications

• A high school diploma or GED certificate (preferred).
• At least one year of experience in a medical office or similar setting.
• Accurate typing and data entry skills; superb customer service and communication skills.
• Knowledge of HIPAA requirements regarding patient confidentiality.
• Knowledge of HPN/SHL, Tricare, and all major insurance portals.

Responsibilities

• Process insurance authorizations and update patient records
• Provide customer service
• Excellent organizational skills
• Verify eligibility benefits
• Verify insurance coverage and obtain prior authorizations in a timely manner
• Data entry of medical records and patient information
• Initiate, process, and complete referrals to Specialists
• Follow up on referrals within 2 business days.
• Process Prior Authorizations in a timely manner.

Skills

Customer service

Data entry

Typing

Phone etiquette

HIPAA knowledge

Education

High school diploma or GED

Job description

We are seeking a motivated, self-starting individual to join our clinic as a Referral Specialist. As part of our team, you will process insurance authorizations, answer phones, maintain and update health care records, and perform data entry. This position requires a highly organized professional with excellent customer service skills and phone etiquette. Our ideal candidate also has prior experience within a medical office and knowledge of medical terminology.

Referral Specialist Duties and Responsibilities

• Process insurance authorizations and update patient records
• Provide customer service
• Excellent organizational skills
• Verify eligibility benefits
• Verify insurance coverage and obtain prior authorizations in a timely manner
• Data entry of medical records and patient information
• Initiate, process, and complete referrals to Specialists
• Follow up on referrals within 2 business days.
• Process Prior Authorizations in a timely manner.

Referral Specialist Requirements and Qualifications

• A high school diploma or GED certificate (preferred)
• At least one year of experience in a medical office or similar setting
• Accurate typing and data entry skillsSuperb customer service and communication skills
• Knowledge of HIPAA requirements regarding patient confidentiality
• Must have knowledge of HPN/SHL, Tricare, and all major insurance portals
• Must be able to manage computer applications with ease
• Will be required to have a TB test and CPR Certification on file, prior to employment
• Must have reliable transportation

This position will be part-time, through the first 90 days, then discussion of eligibility to transition to full time will take place.