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Springfield Clinic

Referral Specialist Specialist Care Clinic

5 days ago by Springfield Clinic
  • Salary negotiable
  • Springfield, IL, US
  • Full-time
Typical response: within 5 days Secure 1-click apply No spam — we never sell your data
AI summary
Under general supervision, the PAS Referral Specialist will utilize tools designed to facilitate the referral process and schedule appointments for multiple specialties for Springfield Clinic patients. office setting, the PAS Referral Specialist will partner with the Springfield safety and quality. The PAS Referral Specialist will ensure timely arrangement of appointments at specialty clinics, ensure primary care provider preferences complete necessary payer prior authorizations, and communicate appointment details to patients, primary care providers, and specialty offices. Referral Specialist follows all applicable regulations, policies, and guidelines care.

Reports to the Operations Manager

patients regarding the requirements and limitations of their health plan. * referral process; allowing the care teams to spend more time with patient care. * Faxes copies of medical records to insurance companies, managed care companies and physicians’ offices to ensure that the patient’s referral will Maintains key contacts at insurance care companies, documenting all interactions, helping to facilitate referral process. * Functions under the direction of the Supervisor, Referral Management and Adheres to all HIPAA guidelines and patient confidentiality policies. Comply with the Springfield Clinic incident reporting policy and procedures. * Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy. * Provide excellent customer service and adhere to Springfield Clinic's Code of High School graduate or GED preferred. * Administrative or technical background acquired through completion Minimum one (1) year medical office experience

Previous clerical and EHR documentation experience preferred-specifically Strong knowledge of local physician networks and their associated Strong general computer skills in Microsoft Office; especially Microsoft Excel spreadsheets, databases, and reporting tools strongly preferred. * Understanding of insurance prior authorization processes and insurance Possesses strong medical terminology. * Demonstrates ability to be flexible Ability to work with multiple care providers and maintain positive working Office type environment requiring frequent fluctuations between sitting and

Reference: 22598_2659883635·Original posting
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