Referral Specialist (PHG Wrens)

JEFFERSON HOSPITAL; Louisville (GA); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Comprehensive Benefits Package

Health, vision, dental

Paid Time Off

Growth, Development, and AdvancementOp

Growth, Development, and AdvancementOp

Job summary

Jefferson Hospital is seeking a Full-Time Referral Specialist to coordinate patient referrals and ensure timely access to specialist services. You will verify authorizations, schedule appointments, and maintain confidential patient records.

In this role you will verify insurance benefits, obtain pre-certifications, and support timely reimbursement while delivering high-quality patient service in a busy medical office.

Qualifications

• Experience in coordinating referrals and handling patient inquiries in a medical office setting.

Responsibilities

• Answer phone calls, schedule appointments, and handle patient inquiries.
• Maintain and update patient records, ensuring confidentiality and accuracy.
• Obtains, verifies, and processes referrals for patients needing to see specialists or receive certain procedures.
• Obtains necessary authorizations and pre-certifications from insurance companies for procedures. Ensures timely reimbursement.
• Verifies patient eligibility and benefits with insurance companies to ensure proper coverage.

Skills

Medical office experience

Education

High school diploma or equivalent

Job description

Full-Time Referral Specialist

Jefferson Hospital services are provided for both inpatients and outpatients and the scope of service is consistent with the current mission of the hospital to provide quality community-based primary health care to Jefferson and surrounding counties.

Job Description

The Physicians’ Health Group Referral Specialist is responsible for facilitating and coordinating patient referrals, ensuring timely access to specialist services, and obtaining proper authorization for procedures.

Essential Duties/Responsibilities

• Answer phone calls, schedule appointments, and handle patient inquiries


• Maintain and update patient records, ensuring confidentiality and accuracy


• Obtains, verifies, and processes referrals for patients needing to see specialists or receive certain procedures.


• Obtains necessary authorizations and pre-certifications from insurance companies for procedures. Ensures timely reimbursement.


• Verifies patient eligibility and benefits with insurance companies to ensure proper coverage.

Position Requirements

• High school diploma or equivalent


• At least one year of experience in a medical office setting is required.

Top benefits

As a team member at Jefferson Hospital, you’ll enjoy:

• Comprehensive Benefits Package


• Health, vision, dental


• Paid Time Off


• Growth, Development, and Advancement Opportunities