| Senior Patient Referral Specialist Job Description |
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| The following is a full job description for Senior Patient Referral Specialist. Here are the requirements and responsibilities for Senior Patient Referral Specialist along with statistics. If after reading this page you determine that Senior Patient Referral Specialist is not the position you are looking for, you may want to try one of these similar titles: Patient Referral Specialist, Patient Safety Specialist, Patient Accounts Senior Manager, Patient Accounts Director, Compensation Senior Manager, Patient Experience Manager, Senior Security Specialist, Chief Patient Experience Officer, Patient Transporter |
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| Requirements and Responsibilities For Senior 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. Researches and resolves pre-certification, registration, and case-related issues. Requires a high school diploma. Typically reports to a supervisor. Works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. Typically requires 3-5 years of related experience. |
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| Also referred to as: Insurance Verification Specialist II, Patient Referral Coordinator II |
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| Similar Jobs: Patient Referral Specialist, Patient Safety Specialist, Patient Accounts Senior Manager, Patient Accounts Director, Compensation Senior Manager, Patient Experience Manager, Senior Security Specialist, Chief Patient Experience Officer, Patient Transporter |
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| Level of Education: Senior Patient Referral Specialist Salaries with No Diploma, Senior Patient Referral Specialist Salaries with a High School Diploma or Technical Certificate, Senior Patient Referral Specialist Salaries with an Associate's Degree, Senior Patient Referral Specialist Salaries with a Bachelor's Degree, Senior Patient Referral Specialist Salaries with a Master's Degree or MBA, Senior Patient Referral Specialist Salaries with a JD, MD, PhD or Equivalent |
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| Industries: Edu., Gov't. & Nonprofit, Healthcare, Insurance | |
