The position is available only for work within following states:
*** Tennessee, Campbellsville, KY (must live 30 miles within Campbellsville, KY), TX, WY, and Aiken, South Carolina (60 miles)***
POSITION SUMMARY
The Registration Referral Specialist maintains ongoing tracking and appropriate referral documentation to promote team awareness and ensure patient safety. They ensure that each registration is complete and accurate, including patient demographics and current insurance information. They also the contact review organizations and insurance companies to ensure prior approval requirements are met.
PRIMARY RESPONSIBILITIES
- Ensure that referrals are addressed in a timely manner.
- Navigate in client systems and other insurance web sites.
- Using the client system the incumbent will find orders for Radiology scans (such as CT’s, MRI’s and PET scans).
- Initiate authorization requests for scans via web, fax, or phone calls to insurance companies.
- Answer clinical questions about the patient’s condition in order to obtain the authorization prior to the date of service.
- Communicate with the doctor in a professional manner in cases where the company needs additional information about the patient; i.e., a case has been denied and the company needs the provider to call the insurance to speak with the nurse, and advise of authorization when necessary.
- Establishes and maintains relationships with identified service providers.
- Be the system navigator and point of contact for patients and families having direct access for asking questions and raising concerns.
- Assemble information concerning patient's clinical background and referral needs.
Working Hours: Monday - Friday, 8:00AM - 5:00PM EST (7:00AM - 4:00PM CST)
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
EDUCATION and/or EXPERIENCE
- Minimum High School diploma or equivalent required.
- Ability to communicate clearly and briefly, utilizing proper grammar and telephone etiquette.
- Prior PC and keyboard knowledge is required.
- Ability to compute basic math calculations using addition, subtraction, multiplication, division, and percentages is required.
SKILLS & ABILITIES
- Exceptional customer service skills consisting of verbal and written communication.
- Ability to converse and respond to common inquiries from consumers and members of the general public.
- Ability to write business-related documents such as letters, emails and other business correspondence as needed.
- Analytical and problem-solving skills.
- Strong individual work ethic possessing the ability to work within a team highly driven, self-starter with the ability to work independently as well as contribute to a team environment.
- Ability to define problems, collect data, establish facts, and draw valid conclusions.
LANGUAGE SKILLS
- Ability to converse and respond to common inquiries from senior management as well as all other internal customers.
- Ability to write business-related documents such as letters, emails, and other business correspondence as needed.
REASONING ABILITY
- Ability to define problems collect data, establish facts, and draw valid conclusions.
PHYSICAL DEMANDS
The physical demands described here represent those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is regularly required to sit, talk, see, and hear. The employee frequently is required to use their hands to dial a telephone, utilize a computer keyboard and mouse, and operate office equipment. The employee is occasionally required to stand, walk, and reach with hands and arms and lift up to 20 pounds.
WORK ENVIRONMENT
The employee works in a temperature-controlled office environment. The employee sits at a desk during regularly scheduled work hours, answers and makes telephone calls using a standard telephone, types on a standard keyboard, and reads and comprehends information from a computer terminal and/or written resources.
COMPENSATION & BENEFITS
- Market competitive compensation program.
- Health, Gym discounts, Dental, Vision, Life, Health Savings Account, Flexible Spending Account, 401(k), Paid Time Off, Paid Holidays, & more.
The company extends equal employment opportunities to qualified applicants and employees on an equal basis regardless of an individual's age, race, color, sex, religion, national origin, disability, veteran status, sexual orientation, gender identity, gender expression, or any other reason prohibited by law.
