What are the responsibilities and job description for the Referral Specialist position at Clearview Dermatology?
Job Overview
We are an expanding specialty practice looking for a caring, energetic referral specialist who wants to join our growing team and be part of our mission to provide an outstanding patient experience!
The ideal candidate will play a crucial role in managing patient referrals, ensuring that all necessary documentation is completed accurately and efficiently. This position requires strong knowledge of medical terminology, coding, and insurance verification processes. The Referral Specialist will work closely with healthcare providers, patients, and insurance companies to facilitate seamless communication and care coordination.
Duties
- Manage the referral process by receiving and processing referral requests from healthcare providers.
- Verify insurance coverage and eligibility for patients to ensure proper authorization for services.
- Utilize ICD-9 and ICD-10 coding systems to accurately document patient diagnoses and procedures.
- Maintain organized medical records, ensuring compliance with confidentiality regulations.
- Communicate effectively with patients regarding their referrals, appointments, and any necessary follow-up actions.
- Collaborate with managed care organizations to resolve any issues related to patient referrals or authorizations.
- Assist in the coordination of care between primary care physicians and specialists.
- Stay updated on changes in insurance policies, managed care guidelines, and medical coding practices.
Requirements
- Previous experience in a medical office setting is preferred.
- Strong knowledge of medical terminology and familiarity with ICD-9 and ICD-10 coding systems.
- Experience with insurance verification processes and managed care protocols.
- Excellent organizational skills with a keen attention to detail.
- Ability to handle multiple tasks simultaneously while maintaining accuracy.
- Strong communication skills, both verbal and written, for effective interaction with patients and healthcare professionals.
- Proficiency in using office software and electronic health record (EHR) systems.
- A commitment to maintaining patient confidentiality in accordance with HIPAA regulations.
Job Type: Full-time
Pay: $21.00 - $25.00 per hour
Expected hours: No more than 40.0 per week
Benefits:
- 401(k)
- Dental insurance
- Employee discount
- Health insurance
- Paid time off
- Vision insurance
Experience:
- Insurance verification: 1 year (Required)
- Medical terminology: 1 year (Required)
Ability to Relocate:
- Leominster, MA 01453: Relocate before starting work (Required)
Work Location: In person
Salary : $21 - $25