Medical Referral Specialist

Overview The Referral Specialist plays a crucial role in the healthcare system by facilitating patient referrals to specialists and ensuring that all necessary information is processed efficiently. This position requires a detail-oriented individual with a strong understanding of medical terminology and insurance processes. The ideal candidate will work closely with healthcare providers, patients, and insurance companies to ensure seamless communication and coordination of care. Duties - Manage the referral process from initiation to completion, ensuring timely communication with patients and specialists. - Verify insurance coverage and benefits for referrals, including managed care plans. - Maintain accurate medical records and documentation in compliance with HIPAA regulations. - Utilize medical coding knowledge, including ICD-10, to ensure proper coding for referrals. - Collaborate with medical office staff to gather necessary patient information and documentation for referrals. - Respond to inquiries from patients regarding their referral status and assist them in navigating the referral process. - Ensure that all referral-related data is entered into the office systems accurately and promptly. Experience - Previous experience in a medical office setting is preferred, with a focus on insurance verification and managed care processes. - Familiarity with medical terminology, coding practices, and HIPAA regulations is essential. - Experience handling medical records and understanding of the referral process within healthcare systems is highly desirable. - Strong organizational skills and attention to detail are critical for managing multiple referrals simultaneously. - Excellent communication skills are necessary for effective interaction with patients, healthcare providers, and insurance representatives. This position offers an opportunity to contribute significantly to patient care by ensuring that all referral processes are handled efficiently and accurately. Job Type: Full-time Pay: $14.00 - $18.00 per hour Expected hours: 40 per week Benefits: 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Experience: ICD-10: 1 year (Required) Medical terminology: 1 year (Required) HIPAA: 1 year (Required) Ability to Relocate: Corpus Christi, TX 78413: Relocate before starting work (Required) Work Location: In person