Referral Specialist
Also referred to as: Referral Assistant, Referral Specialist
Requirements and Responsibilities
Ensures patients have been cleared for specialty service office visits. Resolves pre-certification, registration and case-related concerns prior to a patient's appointment. Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient's financial obligations for services provided. Provides support to clinical staff in order to facilitate the administrative components of clinical referrals for various services. Acts as a liaison between hospitals, physicians, health plans, vendors, and patients, or other referral sources. Verifies insurance coverage and obtains authorizations if needed from insurance coverage. Enters referrals and documents communications, actions, and other data in an information system. Requires an associate's degree or its equivalent. Typically reports to a supervisor or manager. Gaining or has attained full proficiency in a specific area of discipline. Works under moderate supervision. Typically requires 1-3 years of related experience.

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Years of Experience Education Level
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Level of Education:  Referral Specialist Salaries with an Associate's Degree, Referral Specialist Salaries with a Bachelor's Degree, Referral Specialist Salaries with a Master's Degree or MBA, Referral Specialist Salaries with a JD, MD, PhD or Equivalent
Categories:  Healthcare -- Practitioners, Healthcare -- Administrative, Non-Profit and Social Services
Industries:  Edu., Gov't. & Nonprofit, Healthcare, Insurance,
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