Referral Specialist

Position Summary

Job Title: Referral Specialist

Department: Orlando Health Imaging Center Preauthorization

Location: 102 W Pineloch

Shift: Full-time

A Brief Overview

The initial contact of each new patient.

Responsibilities

What you will do

• 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.
• Coordinates 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.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Assumes responsibility for professional development and education.

Qualifications

Qualifications

• High school graduate or equivalent education.
• One (1) year of retail, customer service or health care.
• None.

Qualifications

• High school graduate or equivalent education.
• One (1) year of retail, customer service or health care.
• None.

What you will do

• 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.
• Coordinates 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.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
• Maintains compliance with all Orlando Health policies and procedures.
• Assumes responsibility for professional development and education.