Referral Specialist I
Castlight Health
Job Description Summary
Referral specialist working for fast paced multi-physician office
How will you make an impact & Requirements
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.
Coordinate healthcare referrals, which involves managing administrative tasks like verifying insurance, scheduling appointments with specialists, and maintaining patient records. Will act as a liaison between patients, referring providers, and insurance companies to ensure patients receive necessary care while adhering to their insurance plans.
Key responsibilities include processing referral paperwork, tracking appointments, and communicating with patients and providers. Requires strong communication, organizational, and computer skills.
Process referral requests, submit them to insurance companies, and track their status from initiation to completion.
Verify patient eligibility and authorization for services, and educate patients on the requirements of their health plan.
Communicate between patients, physicians, specialists, and insurance companies to ensure smooth coordination of care.
Process and update patient and referral information in the relevant systems.
Interact with patients, providers, and other staff, often requiring excellent verbal and written communication skills.
Requirements:
Requires HS diploma or GED
Minimum of 1 year of experience in a high-volume, interactive customer service or call center environment; or any combination of education and experience which would provide an equivalent background.
Knowledge of medical terminology preferred.
Compensation: $17.69/hr. - $22.11/hr. & bonus eligible