Referral Specialist (PHG Wrens)

Jefferson Hospital; Louisville (GA); On-site; USD 40,000 - 54,000; Full time

Benefits offered by this job

Comprehensive Benefits Package

Health, vision, dental

Paid Time Off

Growth, Development, and Advancement

Job summary

Jefferson Hospital is seeking a Full-Time Referral Specialist to coordinate patient referrals, ensure timely access to specialist services, and obtain proper authorizations for procedures.

The role involves answering calls, scheduling appointments, maintaining confidential records, and verifying insurance eligibility. Ideal candidates have a high school diploma and at least one year in a medical office setting.

Qualifications

• High school diploma or equivalent.
• At least one year of experience in a medical office setting is required.

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.

Education

High school diploma or equivalent

Job description

Full-Time Referral Specialist

About the Company:

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