Company
ReferralSpecialist
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Referral Specialist. Schedule and obtain authorization/pre-certifications. Detail patient and third-party interaction in EMR”
Industry & Context.
Sedentary Work - Exerting up to 10 pounds of force occasionally
What They're Looking For.
Must Have
High school diploma or GED certificate required
Nice to Have
AAS in related field most helpful
What You'll Do.
Schedule and obtain authorization/pre-certifications
Detail patient and third-party interaction in EMR
Promote customer satisfaction and appropriateness of care
Greet patients in person or via telephone
Coordinate testing with physician
Review medical documents for clarity
Obtain procedure and diagnosis codes
Refer self-pay and out-of-network patients
Complete pre-certification/authorization with insurance
Document authorization/pre-certification received
Notify patient of scheduled procedure and instructions
Coordinate hospital/facility arrival times
Assist in reviewing and revising policies
Perform other responsibilities as necessary
Maintain operational knowledge of department equipment
Full Job Description
**Job Title:** Registration Specialist **Department:** Med Oncology **Location:** 50 Leroy Street, Potsdam, NY 13676 **Hours Per Week:** 37.5hrs **Schedule:** M-F, 8am-4pm or 9am-5pm **SUMMARY** This position is responsible for scheduling and obtaining authorization/pre-certifications for, but not limited to MRI, CT, Neurology, Pain Management and other specialized testing as well as referrals to other MD Specialists and for detailing all patient and third-party interaction in the patient’s EMR. Promotes and provides customer satisfaction and appropriateness of care for all assigned patients. **RESPONSIBILITIES** * Greets all patients, whether in person or via the telephone, with a cheerful and helpful attitude. * Provides coordination of testing to be performed with physician, patient, facility and payer. This includes reviewing medical documents for clarity, ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval. * Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing. * Refers self-pay and out-of-network patients to the appropriate resource to help with payment. * Complete pre-certification/authorization with the patient’s insurance company providing any necessary documentation. * Document authorization/pre-certification once received along with contact information of the person spoken with. * Contacts the patient and notifies them of the scheduled procedure and all necessary instructions. * Coordinates with the hospital or facility the arrival times of each scheduled patient and contacts them with this information. * Assists in reviewing and revising policies and procedures pertaining to scheduling function. * Performs other responsibilities as necessary to ensure efficiency within the practice. * Maintains operational knowledge of department equipment: telephones, computers, faxes, copier, printers, etc. **AGE SPECIFIC CARE:** * Provides age and culturally appropri
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