Referral Specialist - Part-time

Description:

• Processes all sub-specialty and diagnostic referrals and communicates with outside specialty care, diagnostic agencies, and IPA/health plans (if applicable) to initiate referral • Notifies patients of appointment times, educates them regarding significance of specialty/diagnostic appointment, provides reminder calls, and assists patients with their appointments. • Tracks status of referrals on ongoing basis and if assigned, maintains referral log including, at a minimum: specialty, date of referral, date of appointment, date patient notified, show/no-show status, date specialty consult note, and date consult note • Documents and maintains accurate records for all patient correspondence • Ensures that referrals are addressed in a timely manner. • Researches and updates outside referral sources on an on-going basis. • Serves as a liaison between patients and medical staff for both internal and external services. • Reviews patient charts prior to releasing to requesting provider/department for needed forms and reviews prior to completion; replenishes forms as needed. Returns records to providers for completion when indicated. • Ensures complete and accurate registration, including patient demographic and current insurance information. • Contacts review organizations and insurance companies to ensure prior approval requirements are met. • Reviews details and expectations about the referral with patients. • Works aggressively with physicians and physician office staff to obtain necessary medical information relating to the referral.

Skills:

Customer service, Prior authorization

Top Skills Details:

Customer service,Prior authorization

Additional Skills & Qualifications:

- At least 1 year of referral / authorizations experience - IPA/HMO experience - Cerner is highly preferred - Knowledge of ICD and CPT codes Bilingual in Spanish

Experience Level:

Entry Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.