| Patient Referral Specialist Job Description |
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| The following is a full job description for Patient Referral Specialist. Here are the requirements and responsibilities for Patient Referral Specialist along with statistics. If after reading this page you determine that Patient Referral Specialist is not the position you are looking for, you may want to try one of these similar titles: Senior Patient Referral Specialist, Patient Safety Specialist, Patient Navigator, Patient Relations Supervisor, Patient Relations Manager, Patient Appointment Scheduler, Patient Experience Manager, Patient Experience Supervisor, Patient Safety Manager |
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| Requirements and Responsibilities For Patient Referral Specialist |
| Processes insurance pre-verification for hospital admissions or specialty service office visits. Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. Verifies insurance coverage and obtains required authorizations when necessary. Documents referrals, communications, actions, and other data in an information management system. Generates and distributes all applicable forms, notifications, and paperwork. Requires a high school diploma. Typically reports to a supervisor. Works under moderate supervision. Gaining or has attained full proficiency in a specific area of discipline. Typically requires 1-3 years of related experience. |
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| Also referred to as: Insurance Verification Specialist I, Patient Referral Coordinator I |
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| Similar Jobs: Senior Patient Referral Specialist, Patient Safety Specialist, Patient Navigator, Patient Relations Supervisor, Patient Relations Manager, Patient Appointment Scheduler, Patient Experience Manager, Patient Experience Supervisor, Patient Safety Manager |
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| Level of Education: Patient Referral Specialist Salaries with an Associate's Degree, Patient Referral Specialist Salaries with a Bachelor's Degree, Patient Referral Specialist Salaries with a Master's Degree or MBA, Patient Referral Specialist Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
