Romehosp
Referral Specialist – Authorization Specialist
Rome Health is seeking a Referral Specialist – Authorization Specialist who will schedule appointments for patients for testing and/or to see specialists as ordered by the patient's provider of care.
Responsibilities
Adhere to Rome Health's Compliance Plan, Policies and Procedures, HIPAA Privacy and Security, Safety and PCMH Health Policies to maintain a quality level of service for patients and protect the confidentiality of patients Protected Health Information (PHI).
Answer phone calls and assist patients with questions as needed.
Maintain ongoing tracking and appropriate documentation of referrals.
Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
Contact insurance carriers to obtain and ensure prior approval requirements and/or authorizations are met. Present necessary medical information such as history, diagnosis and prognosis.
Record time and date of appointment and method of patient notification in EMR.
In coordination with guidelines for PCMH, review details and expectations about the referral with the patient, explaining any special instructions regarding test ordered and provide written instructions as applicable.
Ensure that referrals are addressed in a timely manner.
Contact patients with scheduled appointments via mail or phone.
Maintain good communication skills with providers, supervisors, coworkers, patients and other departments, as applicable.
Perform other related duties as necessary to maintain efficient workflow.
Answering phones and other receptionist duties included.
Skills and Qualifications
High School diploma
Knowledge of referral process and insurance industry.
Organized, meticulous, with great attention to detail and able to manage priorities.
Effective verbal and written communication skills.
About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College.
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Responsibilities
Adhere to Rome Health's Compliance Plan, Policies and Procedures, HIPAA Privacy and Security, Safety and PCMH Health Policies to maintain a quality level of service for patients and protect the confidentiality of patients Protected Health Information (PHI).
Answer phone calls and assist patients with questions as needed.
Maintain ongoing tracking and appropriate documentation of referrals.
Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
Contact insurance carriers to obtain and ensure prior approval requirements and/or authorizations are met. Present necessary medical information such as history, diagnosis and prognosis.
Record time and date of appointment and method of patient notification in EMR.
In coordination with guidelines for PCMH, review details and expectations about the referral with the patient, explaining any special instructions regarding test ordered and provide written instructions as applicable.
Ensure that referrals are addressed in a timely manner.
Contact patients with scheduled appointments via mail or phone.
Maintain good communication skills with providers, supervisors, coworkers, patients and other departments, as applicable.
Perform other related duties as necessary to maintain efficient workflow.
Answering phones and other receptionist duties included.
Skills and Qualifications
High School diploma
Knowledge of referral process and insurance industry.
Organized, meticulous, with great attention to detail and able to manage priorities.
Effective verbal and written communication skills.
About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College.
#J-18808-Ljbffr