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WellStar Health System, Inc Hiring for Referral Specialist Job at Kennesaw, GA Full Time
Overview
How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what’s possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people’s lives.
Responsibilities
The Referral Specialist is responsible for handling the referral process for specialized procedures in the ambulatory setting, ensuring that appropriate authorizations are requested, received and recorded in tapestry. Acts as the primary source for staff regarding authorizations, insurance plans, and specific procedural codes. The job duties include tracking of the patients and ensuring follow through. This is a clerical position working in a clinic with multiple providers and support staff. Work situations require a poised individual, courteous manner, discretion, organization skills, and good judgment. Knowledge of all department functions and various insurance plan provisions is essential. This position requires extensive interaction with external customers to include other physician offices, insurance plans, and patients. Internal contacts include the nursing staff, providers, and centralized call center staff.
Qualifications
Required Minimum Education
- High school graduate or equivalent
Required Minimum Experience
- Two (2) years previous clerical experience, in a medical office preferred
- Experience with CPT and ICD-9 coding preferred
Required Minimum Skills
- Knowledge of and skill in the use of personal computer and related software. Knowledge of medical terminology and medical ethics
- Time management, good grammar and spelling, good interpersonal skills
- Ability to deal with difficult people or situations in a professional manner
- Ability to train staff of all levels
- Ability to work efficiently under pressure, with a high degree of accuracy
- Ability to work independently and take initiative. Ability to exercise discretion and maintain confidentiality
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