Referral Specialist II bei Verawholehealth

Job Description Summary

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Responsible for the completion and submission of appropriate forms for patients whose health plan requires authorizations and referrals for services and/or treatment at a facility other than that of the referring physician.

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How will you make an impact & Requirements

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With nearly 30 years of experience in providing advanced primary care, CareMore APC delivers exceptional patient experiences. Compassionate clinicians take the time to understand each patient’s unique health needs while also removing barriers to access. Patients trust us to receive the right personalized care where and when they need it – in our care centers, at home or virtually – to improve their health outcomes and quality of life.

Primary duties may include, but are not limited to:

• Educates and assists patients with the authorization and referral process, referrals for specialty care or treatment, and additional clinical testing.

• Enters authorization into the portal scans and ensures accurate completion of authorization and referral forms.

• Submits completed prior authorization forms to the appropriate Utilization Management department.

• Maintains logbook of all authorizations and referrals submitted.

• Assists patients in the scheduling of appointments with the specialist or facility to which the patient has been referred and scheduling transportation, if necessary.

Requirements:

• Requires a HS diploma

• Minimum of 6 months of experience processing referrals/authorizations and/or working knowledge of the referral/authorization process; or any combination of education and experience which would provide an equivalent background.

• Bi-lingual (English/Spanish) required in most offices.

• Must be able to work onsite in the office, 5 days a week from 8am-5pm.

Compensation: $17.39/hr. - $21.74/hr. & bonus eligible

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