Referral Specialist, Gastroenterology, FT, Days
Inspire healthServe with compassionBe the difference.Job SummaryTo provide our patients a seamless entry in to the Prisma Health experienceThe Referral Specialist interfaces with patients and physician office team members to accurately authorize various consultations, procedures and testsThe Referral Specialist utilizes each patientu2019s preferred method of contactThe Referral Specialist utilizes various electronic medical records to transmit required clinical documentation to third party payors and Specialist PhysiciansResponsibilities include documenting all actions and encounters regarding the referral including timely follow up with the patient, referring and referral physician practice and third party payors including pre-certification, cancelled and rescheduled appointments, and other events preventing closure of the referral experienceAccountabilitiesResponsible for the authorization/precertification process to include coordinating with outside and internal organizations along with insurance companies to ensure prior approval requirements are metPresents necessary medical information such as history, diagnosis and prognosisProvides specific medical information to financial services to maximize reimbursement to the hospital and physicians.Accurately records demographic, coverage, and scheduling information in various systemsReminds patients of scheduled appointments via mail, internet, or telephoneEnsures that patientu2019s primary care chart is up to date with scheduling information about specialist consults, tests, and procedures managedAlerts management to trends in appointment availability and appointment date timeliness.Promotes hospital goals towards meaningful use in the electronic medical record on behalf of the referring physicianDocuments referral status and all scheduled appointments in appropriate system (electronic medical record) for referral tracking dataResponsible for following up after patientu2019s consultation, procedure, and/or test to determine if physician has received report; continues to check on status until complete.Serves as Liaison between the provider, practice, patient and specialist providing the service.u00A0 Communicates Provides appropriate patient clinical information and referral needs to specialist office.Verifies physicianu2019s orders to ensure the accuracy of results and communicates with the patient the guidelines, protocols and location.Assists patients in problem solving potential issues related to navigating the health care system, financial obligations or social barriers (e.g., request interpreters if appropriate, transportation services or prescription assistance)May assume advocate role on the patientu2019s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.Promptly responds to patientu2019s scheduling requirements (date and time), questions and concerns to ensure patient experience expectations are met or exceeded.u00A0u00A0 Ensures timely appointments are booked; reviews details and expectations about the referral process with patients.Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Prisma Health.To ensure the effective and efficient operation of the facility and to create an extraordinary patient, physician and team member experience.Performs other duties as assigned.Supervisory/Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum EducationHigh School diploma or equivalent; OR post high school diplomaMinimum ExperienceTwo (2) years of comparable experience, preferably in a physician front office to include patient registration and/or electronic scheduling and the authorization/precertification process.Other Required ExperienceMust have excellent customer service skills and a sincere desire to make every patient and their family feel safe, welcomed and appreciated.u00A0 Excellent oral and written communication skills and interpersonal phone skillsKnowledge of various health insurance companies.u00A0 Knowledge of medical terminology, CPT and Diagnosis Coding, insurance verification and updates, and the authorization/precertification processKnowledge of Microsoft office productsMust pass data entry test 85 kstwith 90% accuracy.u00A0Work ShiftDay (United States of America) Location3 Medical Park Rd Richland Facility3210 Gastroenterology 3 Medical Park Department32101000 Gastroenterology 3 Medical Park-Practice Operations Share your talent with us! Our vision is simple:
to transform healthcare for the benefits of the communities we serveThe transformation of healthcare requires talented individuals in every role here at Prisma Health.,title:
Referral Specialist, Gastroenterology, FT, Days,datePosted:
2024-01-25T00:
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Inspire healthServe with compassionBe the difference.Job SummaryTo provide our patients a seamless entry in to the Prisma Health experienceThe Referral Specialist interfaces with patients and physician office team members to accurately authorize various consultations, procedures and testsThe Referral Specialist utilizes each patientu2019s preferred method of contactThe Referral Specialist utilizes various electronic medical records to transmit required clinical documentation to third party payors and Specialist PhysiciansResponsibilities include documenting all actions and encounters regarding the referral including timely follow up with the patient, referring and referral physician practice and third party payors including pre-certification, cancelled and rescheduled appointments, and other events preventing closure of the referral experienceAccountabilitiesResponsible for the authorization/precertification process to include coordinating with outside and internal organizations along with insurance companies to ensure prior approval requirements are metPresents necessary medical information such as history, diagnosis and prognosisProvides specific medical information to financial services to maximize reimbursement to the hospital and physicians.Accurately records demographic, coverage, and scheduling information in various systemsReminds patients of scheduled appointments via mail, internet, or telephoneEnsures that patientu2019s primary care chart is up to date with scheduling information about specialist consults, tests, and procedures managedAlerts management to trends in appointment availability and appointment date timeliness.Promotes hospital goals towards meaningful use in the electronic medical record on behalf of the referring physicianDocuments referral status and all scheduled appointments in appropriate system (electronic medical record) for referral tracking dataResponsible for following up after patientu2019s consultation, procedure, and/or test to determine if physician has received report; continues to check on status until complete.Serves as Liaison between the provider, practice, patient and specialist providing the service.u00A0 Communicates Provides appropriate patient clinical information and referral needs to specialist office.Verifies physicianu2019s orders to ensure the accuracy of results and communicates with the patient the guidelines, protocols and location.Assists patients in problem solving potential issues related to navigating the health care system, financial obligations or social barriers (e.g., request interpreters if appropriate, transportation services or prescription assistance)May assume advocate role on the patientu2019s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.Promptly responds to patientu2019s scheduling requirements (date and time), questions and concerns to ensure patient experience expectations are met or exceeded.u00A0u00A0 Ensures timely appointments are booked; reviews details and expectations about the referral process with patients.Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Prisma Health.To ensure the effective and efficient operation of the facility and to create an extraordinary patient, physician and team member experience.Performs other duties as assigned.Supervisory/Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum EducationHigh School diploma or equivalent; OR post high school diplomaMinimum ExperienceTwo (2) years of comparable experience, preferably in a physician front office to include patient registration and/or electronic scheduling and the authorization/precertification process.Other Required ExperienceMust have excellent customer service skills and a sincere desire to make every patient and their family feel safe, welcomed and appreciated.u00A0 Excellent oral and written communication skills and interpersonal phone skillsKnowledge of various health insurance companies.u00A0 Knowledge of medical terminology, CPT and Diagnosis Coding, insurance verification and updates, and the authorization/precertification processKnowledge of Microsoft office productsMust pass data entry test 85 kstwith 90% accuracy.u00A0Work ShiftDay (United States of America) Location3 Medical Park Rd Richland Facility3210 Gastroenterology 3 Medical Park Department32101000 Gastroenterology 3 Medical Park-Practice Operations Share your talent with us! Our vision is simple:
to transform healthcare for the benefits of the communities we serveThe transformation of healthcare requires talented individuals in every role here at Prisma Health. Recommended Skills Administration Clinical Works Communication Consulting Customer Service Data Entry Apply to this job. Think you're the perfect candidate? Apply on company site $(document).ready( function() $(#ads-desktop-placeholder).html(
n
n
n Estimated Salary: $20 to $28 per hour based on qualifications.
to transform healthcare for the benefits of the communities we serveThe transformation of healthcare requires talented individuals in every role here at Prisma Health.,title:
Referral Specialist, Gastroenterology, FT, Days,datePosted:
2024-01-25T00:
00:
00.000+0000,@context:
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Inspire healthServe with compassionBe the difference.Job SummaryTo provide our patients a seamless entry in to the Prisma Health experienceThe Referral Specialist interfaces with patients and physician office team members to accurately authorize various consultations, procedures and testsThe Referral Specialist utilizes each patientu2019s preferred method of contactThe Referral Specialist utilizes various electronic medical records to transmit required clinical documentation to third party payors and Specialist PhysiciansResponsibilities include documenting all actions and encounters regarding the referral including timely follow up with the patient, referring and referral physician practice and third party payors including pre-certification, cancelled and rescheduled appointments, and other events preventing closure of the referral experienceAccountabilitiesResponsible for the authorization/precertification process to include coordinating with outside and internal organizations along with insurance companies to ensure prior approval requirements are metPresents necessary medical information such as history, diagnosis and prognosisProvides specific medical information to financial services to maximize reimbursement to the hospital and physicians.Accurately records demographic, coverage, and scheduling information in various systemsReminds patients of scheduled appointments via mail, internet, or telephoneEnsures that patientu2019s primary care chart is up to date with scheduling information about specialist consults, tests, and procedures managedAlerts management to trends in appointment availability and appointment date timeliness.Promotes hospital goals towards meaningful use in the electronic medical record on behalf of the referring physicianDocuments referral status and all scheduled appointments in appropriate system (electronic medical record) for referral tracking dataResponsible for following up after patientu2019s consultation, procedure, and/or test to determine if physician has received report; continues to check on status until complete.Serves as Liaison between the provider, practice, patient and specialist providing the service.u00A0 Communicates Provides appropriate patient clinical information and referral needs to specialist office.Verifies physicianu2019s orders to ensure the accuracy of results and communicates with the patient the guidelines, protocols and location.Assists patients in problem solving potential issues related to navigating the health care system, financial obligations or social barriers (e.g., request interpreters if appropriate, transportation services or prescription assistance)May assume advocate role on the patientu2019s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.Promptly responds to patientu2019s scheduling requirements (date and time), questions and concerns to ensure patient experience expectations are met or exceeded.u00A0u00A0 Ensures timely appointments are booked; reviews details and expectations about the referral process with patients.Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by Prisma Health.To ensure the effective and efficient operation of the facility and to create an extraordinary patient, physician and team member experience.Performs other duties as assigned.Supervisory/Management ResponsibilitiesThis is a non-management job that will report to a supervisor, manager, director or executive.Minimum EducationHigh School diploma or equivalent; OR post high school diplomaMinimum ExperienceTwo (2) years of comparable experience, preferably in a physician front office to include patient registration and/or electronic scheduling and the authorization/precertification process.Other Required ExperienceMust have excellent customer service skills and a sincere desire to make every patient and their family feel safe, welcomed and appreciated.u00A0 Excellent oral and written communication skills and interpersonal phone skillsKnowledge of various health insurance companies.u00A0 Knowledge of medical terminology, CPT and Diagnosis Coding, insurance verification and updates, and the authorization/precertification processKnowledge of Microsoft office productsMust pass data entry test 85 kstwith 90% accuracy.u00A0Work ShiftDay (United States of America) Location3 Medical Park Rd Richland Facility3210 Gastroenterology 3 Medical Park Department32101000 Gastroenterology 3 Medical Park-Practice Operations Share your talent with us! Our vision is simple:
to transform healthcare for the benefits of the communities we serveThe transformation of healthcare requires talented individuals in every role here at Prisma Health. Recommended Skills Administration Clinical Works Communication Consulting Customer Service Data Entry Apply to this job. Think you're the perfect candidate? Apply on company site $(document).ready( function() $(#ads-desktop-placeholder).html(
n
n
n Estimated Salary: $20 to $28 per hour based on qualifications.
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