REFERRAL SPECIALIST-PPO

Summary Who We Are: LifeBridge Health is a dynamic, purpose-driven health system redefining care delivery across the mid-Atlantic and beyond, anchored by our mission to “improve the health of people in the communities we serve.” Join us to advance health access, elevate patient experiences, and contribute to a system that values bold ideas and community-centered care.

Job Summary Prepares and initiates referrals, obtains and tracks authorizations, and follows up on outstanding referrals. Verifies patient coverage for specific benefits. Answers incoming calls regarding referrals. Completes referrals initiated by the primary care physician in a timely and accurate manner; encloses any pertinent information from the patient's chart and contacts patient when referral is complete. Obtains authorizations for scheduled procedures and admissions; assures compliance; coordinates with managed care payors. Maintains, prioritizes and monitors work flow to ensure authorizations and referrals are completed in a timely and accurate manner. Tracks and ages referrals; follows up on those outstanding with the appropriate person. Completes and submits accurate monthly statistic reports. Provides specialist information to the patient to allow them to make their own appointment according to their availability.

Requirements

• Preferred Associate's Degree or equivalent
• 1-3 years Required

SPECIFIC REQUIREMENTS Scheduling experience, Prior Authorization experience, Medical terminology