Referral Specialist - Internal Medicine

Position Summary

The initial contact of each new patient.

Essential Functions

• Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital admissions.
• Ensures financial information and insurance has been verified.
• Updates patient insurance information in billing systems as needed.
• Initiates the referral and authorization process for all services and visits.
• Works closely with nursing and medical staff to facilitate optimal patient care.
• Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming appointments.
• Collaborates with other departments as needed to facilitate patient’s visit.
• Provides patient with referral information for other physicians and facilities.
• Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each service.

Other Related Functions

• Affords responsibility for professional development and education.

Education/Training

• High school graduate or equivalent education.

Licensure/Certification

• None.

Experience

• One (1) year of retail, customer service or health care.