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Referral Specialist

Company: MAXhealth
Location: Sarasota
Posted on: May 3, 2021

Job Description:

Busy Multi-Specialty practice seeks Referral Specialist. Referral Specialist is responsible for ensuring that the patient's insurance allows them to access the services of the health care provider.Position is responsible for:Utilization management activities to include coordinate timely approval of referrals, coordinate efficiency of referral department, collects medical information in order to determine appropriate use of services.Monitoring quality of care that correlates with patients benefit plan and appropriate contracted providers.Assists in strategies that will improve workflow, appropriateness, and quality outcomes of care by working across teams to accomplish goals.Initiate direct communication with health care providers to obtain complete and accurate information.Acting as a liaison between insurance, healthcare providers, and the department to ensure required referrals have been processed correctly for medical specialty visitsAccurately chart all information in EHR/EMRProvide coverage for other areas/ departments as neededAdditional responsibilities as deemed necessaryPreferred Qualifications: 2 years' experience in a medical practice, Medical Assistant, Licensed Practical Nurse (LPN)Compensation Based on Experience and Qualifications

Keywords: MAXhealth, Sarasota , Referral Specialist, Other , Sarasota, Florida

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