Referral Coordinator I - Neurology York
WellSpan Health
Referral Coordinator I - Neurology York
Location: WellSpan Medical Group, York, PA
Schedule: PRN/Per Diem
Schedule
PRN
General Summary
Performs a variety of support functions for each assigned practice including, but not limited to, scheduling, insurance verification, obtaining authorizations and referrals and record management.
Duties and Responsibilities
Essential Functions:
+ Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.
+ Ensures patient confidentiality.
+ Manages the insurance referral process according to policy. Keeps staff current on changes.
+ Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications.
+ Provides insurance company with clinical information necessary to secure authorizations.
+ Communicates with clinical team when authorization is unable to be obtained.
+ Maintains referral record in electronic medical record.
Common Expectations:
+ Maintains established policies and procedures, objectives, quality assessment and safety standards.
+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation
+ Establishes and maintains files and records on an ongoing basis.
+ Opens and routes incoming mail; distributes correspondence and other material to staff.
Required for All Jobs:
+ Performs other related duties as identified.
+ WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
+ WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.
The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
Qualifications
Minimum Education:
+ High School Diploma or GED Required
Work Experience:
+ 1 year Medical insurance experience or experience obtaining authorizations and referrals from insurance companies. Required
+ Medical front office experience. Preferred
Courses and Training:
+ Medical terminology. within 180 days Required
Apply Now
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At WellSpan Health, we are committed to treating all applicants fairly and equitably, regardless of their job classification. If you require assistance or accommodation due to a disability, please reach out to us via email atcareers@wellspan.org. We will evaluate requests for accommodation on a case-by-case basis. Please note that we will only respond to inquiries related to reasonable accommodation from this email address. Rest assured, all requests for assistance or accommodation are handled confidentially, allowing applicants to share their needs openly and honestly with us.
WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.
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