Omaha, NE, 68182, USA
3 days ago
Referral Specialist
**Overview** **Opportunity to work from home (remote) after 90 days in the office.** ****Local Candidates to The Omaha Area only**** CHI Health strives to care for you the way you care for your patients. We understand you have personal responsibilities outside of your profession and also care about your well-being. **With you in mind, we offer the following benefits to support your work/life balance:** + Health/Dental/Vision Insurance + Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7) + Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care + Voluntary Protection: Group Accident, Critical Illness, and Identity Theft + Employee Assistance Program (EAP) for you and your family + Paid Time Off (PTO) + Tuition Assistance for career growth and development + Matching 401(k) and 457(b) Retirement Programs + Adoption Assistance + Wellness Programs + Flexible spending accounts From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. **Responsibilities** + Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers. + Communicate detailed information and answers patients; questions regarding their health care plan; provide answers to billing and insurance clarification questions. + Set up appointments, coordinate clinic visits, and any special arrangements such as transportation, interpreter services, specialty care, etc. + Coordinate flow of information between medical clinic and referral authorization department to secure a valid referral for clinic patient. + Enter referrals, documents communications and action into the system, as appropriate. + Notify physician(s) and patient when referral is denied, or if additional information is needed. + Develop and maintain database of referral physician offices preferred by each physician within the clinic. + Assist Practice Manager with complaint resolution and solutions related to patient referrals. + Perform other duties as assigned by the practice manager or physician. **Qualifications** **Required Minimum Knowledge, Skills, Abilities and Training** 2 years of progressively responsible related experience in a Health care environment required. **Pay Range** $15.00- $20.33 /hour We are an equal opportunity/affirmative action employer.
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