Referral Specialist
US-NE-OMAHA
commonspirit_careers
Req #: 401974
Type: Day
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Overview: CHI Health strives to care for you the way you care for your patients. We understand you have personal responsibilities outside of your profession and also care about your well-being. With you in mind, we offer the following benefits to support your work/life balance: * Health/Dental/Vision Insurance * Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7) * Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care * Voluntary Protection: Group Accident, Critical Illness, and Identity Theft * Employee Assistance Program (EAP) for you and your family * Paid Time Off (PTO) * Tuition Assistance for career growth and development * Matching 401(k) and 457(b) Retirement Programs * Adoption Assistance * Wellness Programs * Flexible spending accounts 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. Responsibilities: * Gather, 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. Qualifications: Required Minimum Knowledge, Skills, Abilities and Training 2 years of progressively responsible related experience in a Health care environment required.
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