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Insurance Referral Coordinator

Company: Robert Half International
Location: Corvallis
Posted on: January 8, 2022

Job Description:

The Referral Clerk coordinates and facilitates the process of internal and external referrals. This includes interaction with patients, physicians, referral providers and health plans.



Principal Responsibilities:

Will participate and maintain a culture within the organization consistent with the content outlined in the Service and Behavioral Standards Handbook. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within.

Prepare referral information received from physicians.

Review referral and pre-authorization/registration information for appropriateness of referral.

Verify accuracy of referral request or service record and modify patient information as required.

Respond to inquiries from providers, patients and staff regarding referrals and registration.

Verify Workers Compensation documents for completeness and submit all required documentation per WC protocols

Obtain Insurance authorization and schedule Injection series appointments

Manage all doctors schedules (block when provider is out, move patients who need to be moved, make sure that the template is followed, maintain waitlists)

Manage hold documents in Athena

Other duties as assigned

Scheduling, Project Scheduling, Insurance Referrals - Verifications, Health Plan, Answering Multi-Line Phone System

  • One or more years of successful experience in referrals and/or pre-authorization OR Minimum of two years' experience in dealing with managed care protocols preferred.
  • 1-year experience in a medical office front desk position with referral experience required.

Keywords: Robert Half International, Corvallis , Insurance Referral Coordinator, Other , Corvallis, Oregon

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