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JM
John Muir Health
Referral Specialist - Patient Access and Revenue Cycle - Full Time - 8 Hour - Days
Entry-Level JobVerifiedNo experience needed
Career Insights for Registrar / Patient Service Representative
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Based on California data
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What they do
A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
$56,840 / year median in California
+13% projected growth
Job Description
Referral Specialist
- Patient Access and Revenue Cycle
- Full Time
- 8 Hour
- Days John Muir Health
- 4.0 Walnut Creek, CA Job Details Full-time $27.03
- $36.
Full Job Description Job Description:
Performs daily operational functions to effectively process authorization requests for full risk and shared risk group plans. Forwards and tracks requests to Utilization Review (UR) and processes determination upon return. Conducts research and communication with providers for retrospective or non-communicated authorizations when no authorization is on file or services are not properly authorized at the time of claim receipt. Assists providers and patients with process and status questions upon request from provider and member services departments. Maintains statistics and reports on authorization activity.Education:
High School Graduate or Equivalent Preferred Experience:
Health Maintenance Organization Referrals Required Certifications/Licensures:
Epic- Proficiency must be passed within 90 days of
Start Date Required Skills:
Knowledge of organizations policies, procedures, systems and objectives. Knowledge of medical terminology, ICD-10, CPT and HCPCS coding required. Trained in Health Insurance Portability and Accountability Act (HIPAA) general protocols with additional training specific to department as required & Security Policies and Procedures. Proficient in Microsoft Office Products (Word, Excel, Outlook and Power Point). Maintains professional and personal integrity. Must be able to maintain effective working relationships with a wide variety of individuals. Ability to deal diplomatically with all types of individuals under stressful situations. Basic knowledge of medical terminology, anatomy and physiology. Skill in developing comprehensive reports.Work Shift:
08.0- 08:00
- 17:00 No Waive (United States of America)
Pay Range:
$27.03- $36.