Join largest Catholic health system, and the second-largest nonprofit hospital chain CommonSpirit Health as Referral Specialist in Omaha Nebraska at CHI Health Clinic. Read role and responsibility to apply Administrative and Clerical jobs nearby in Omaha.
Position : Referral Specialist
Location : Omaha, Nebraska
Job Type : Full-time
Employer : CHI Health Clinic
Category: Administrative and Clerical
Department: Family Practice Clinic
Working Shift : Shift Day
Is Remote : No
From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.
Job Summary / PurposeThe Referral Specialist works with patients requiring a referral, to ensure patient’s referral needs are fulfilled for specialty service office visits. Processes referrals, authorizations and pre-certifications for patients, to ensure timely reimbursement.Essential Key Job ResponsibilitiesGather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.Communicate detailed information and answers patients’ questions regarding their health care plan; provide answers to billing and insurance clarification questions.Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc.Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient.Enter referrals, documents communications and action into the system, as appropriate.Notify physician(s) and patient when referral is denied, or if additional information is needed.Develop and maintain database of referral physician offices preferred by each physician within the clinic.Assist Practice Manager with complaint resolution and solutions related to patient referrals.Perform other duties as assigned by the practice manager or physician.
Minimum Qualifications:High school diploma or equivalent required2 years of progressively responsible related experience in a healthcare environment required
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