Referral Specialist RemX Healthcare - 3.2 Savannah, GA Job Details Part-time $15 - $16 an hour 22 hours ago Benefits Health insurance Dental insurance Vision insurance Qualifications Record keeping Customer communication Microsoft Excel Overseeing health insurance pre-certification Electronic health records (EHR) management Medical insurance coverage verification Customer service Medical office experience HIPAA Medical coding guidelines Insurance medical billing Clinical data entry Health information regulatory compliance Health information management Productivity software Clinical confidentiality policies Document management Managing patient records Medical terminology Quality data entry Full Job Description Job Summary We are seeking a proactive and detail-oriented Referral Specialist to join our healthcare team. In this vital role, you will serve as a key connector between patients, healthcare providers, and insurance companies to facilitate seamless referrals and authorization processes. Your expertise will ensure that patients receive timely access to specialized care while maintaining compliance with healthcare regulations. This position offers an exciting opportunity to make a meaningful impact on patient outcomes through effective communication, thorough documentation, and a strong understanding of health insurance policies. If you thrive in a fast-paced environment and are passionate about delivering exceptional customer service, this role is perfect for you! Duties Coordinate and process patient referrals to specialists, ensuring all necessary documentation is complete and accurate. Obtain insurance prior authorization by verifying coverage details, submitting required medical records, and following up on approval status. Review and interpret medical records, including clinical notes, diagnostic codes (ICD-9, ICD-10), CPT coding, and other relevant documentation to support referral requests. Maintain comprehensive electronic health records (EHR) by accurately entering data and managing medical records in compliance with HIPAA and confidentiality policies. Communicate effectively with healthcare providers, insurance companies, and patients to resolve issues related to coverage, authorization delays, or missing information. Verify insurance benefits and eligibility using various systems such as EMR/EHR platforms and insurance portals. Stay updated on health insurance policies, managed care guidelines, and clinical confidentiality policies to ensure compliance at all times. Qualifications Proven experience in medical office settings or healthcare environments with knowledge of medical terminology and medical records management. Strong understanding of health insurance policies, including managed care plans, prior authorization procedures, and insurance verification processes. Familiarity with ICD coding (ICD-9 & ICD-10), CPT coding, and medical billing practices. Proficiency in Microsoft Office applications (Word, Excel) and EMR/EHR systems for documentation and record management. Knowledge of HIPAA regulations to ensure patient privacy and confidentiality are maintained at all times. Excellent customer service skills with the ability to communicate clearly with patients, providers, and insurers. Ability to handle sensitive information with discretion while adhering to clinical confidentiality policies. Strong organizational skills with attention to detail for accurate data entry and follow-up activities. Join us in delivering exceptional healthcare coordination that empowers patients through efficient referrals! We're committed to fostering a supportive environment where your skills contribute directly to improved patient care outcomes.

Pay:

$15.00 - $16.00 per hour

Benefits:

Dental insurance Health insurance Vision insurance

Work Location:

In person