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Hollister Co is Hiring a Referral specialist Near Centennial, CO
ABC Home Medical Supply, Inc is one of the nation’s leading urological supply providers and serves as a one-stop shop with a comprehensive line of medical supplies and service that includes : Urological, Incontinence, Wound Care, and Ostomy.
ABC Medical is part of the JDS, Inc family of businesses. Our service companies possess the knowledge and expertise to deliver first-class products and personalized home healthcare services.
Location : Trevose
Department : Summary :
Summary :
The Referral Specialist is responsible for verifying, obtaining, reviewing, and accurately determining that all medical documentation received from physicians or referral sources meet all Local Coverage Determinnations and regulatory requirements.
The Referral Specialist is responsible for the Pre-authorization functionality.
Location :
In Office - Trevose, PA; Centenniel, CO; Port St. Lucie, FL
Responsibilites :
Include the following as well as other duties and responsibilities, which may be assigned.
Examine documents to verify required compliance, completeness, and accuracy of data.
Confer with document originator and approvers to resolve identified discrepancies.
Contact insurance companies to confirm insurance coverage and eligibility of products.
Obtain prior authorization and / or referrals.
Appropriately update document databases, and corresponding files.
Generate communication to the appropriate personal on new and revised documents including Pre-authorization request.
Regularly communicate with internal and external partners, including Customer Service, Referral Management, Sales, and Payors.
Achieve defined Service Leval Agreements.
Communicate Payor requirements as they are discovered.
Adheres to all HIPAA guidelines / regulations.
Follows company policies and procedures.
Qualifications :
High School Diploma or equivalent work experience.
Basic understanding of payor guidelines.
Analytical skills required, attention to detail, and organized.
2 years of work experience
Previous DME experience a plus.
Basic Microsoft skills.
Ability to work well in a team environment
Job Req ID : 32895
Last updated : 2024-04-23
Job Summary
Full Time
Medical Technology
$40k-48k (estimate)
04/24/2024
04/28/2024
hollister.com
LIBERTYVILLE, IL
1,000 - 3,000
1921
Private
GEORGE MALIEKEL
$500M - $1B
Medical Technology
Related Companies
About Hollister Co
Hollisterdevelops, manufactures and marketsmedical supplies for ostomy, continence, wound and critical care markets.
The job skills required for Referral specialist include Prior Authorization, Customer Service, HIPAA, Attention to Detail, etc. Having related job skills and expertise will give you an advantage when applying to be a Referral specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Referral specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Referral specialist positions, which can be used as a reference in future career path planning. As a Referral specialist, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Referral specialist. You can explore the career advancement for a Referral specialist below and select your interested title to get hiring information.
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