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Kellum Family Medicine

Referral Specialist

Career Insights for Enrollment Specialist

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What they do

An Enrollment Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. Assists eligible applicants with enrolling in a program.

$47,180 / year median in Texas

+10% projected growth

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Job Description

Performs a wide range of administrative duties to include referral processing, verification of benefits, insurance authorizations, patient appointment scheduling, program communication to potential candidates, communication with referral sources and other tasks assigned.
ESSENTIAL FUNCTIONS
▪ Responsible for the tracking, coordination and communication of patient referrals ▪ Ensures complete and accurate patient registration, including demographics and current insurance information ▪ Handles requests from third party referral sources and provides relevant information and data ▪ Serves as point person for multidisciplinary evaluation process to include patient scheduling, third party communications, and internal communications ▪ Assembles information concerning patient's clinical background and referral needs ▪ Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met ▪ Reviews details and expectation of referral with the potential patient ▪ Ensures that referrals are addressed in a timely manner ▪ Communication with referral sources to ensure patient information/ registration is complete
SKILLS & QUALIFICATIONS
▪ Prefered two years of relevant experience ▪ Strong customer service focus ▪ Effective verbal and written communication skills ▪ Teamwork orientation ▪ Organized and able to manage multiple priorities ▪ Resourcefulness in problem solving ▪ Able to take and follow through with delegated tasks and accountability
Job Type:
Full-time Pay:
$18.00 - $20.00 per hour
Benefits:
Dental insurance Employee discount Health insurance Life insurance Vision insurance
Work Location:
In person