Senior Patient Referral Specialist processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Being a Senior Patient Referral Specialist acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Additionally, Senior Patient Referral Specialist documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Researches and resolves pre-certification, registration, and case-related issues. Requires a high school diploma. Typically reports to a supervisor. The Senior Patient Referral Specialist works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Senior Patient Referral Specialist typically requires 3-5 years of related experience.
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