Referral Specialist (PHG Wrens)

Full-Time Referral Specialist About the Company: Jefferson Hospital services are provided for both inpatients and outpatients and the scope of service is consistent with the current mission of the hospital to provide quality community-based primary health care to Jefferson and surrounding counties. Job Description: The Physicians’ Health Group Referral Specialist is responsible for facilitating and coordinating patient referrals, ensuring timely access to specialist services, and obtaining proper authorization for procedures.

Essential Duties/Responsibilities: Answer phone calls, schedule appointments, and handle patient inquiries Maintain and update patient records, ensuring confidentiality and accuracy Obtains, verifies, and processes referrals for patients needing to see specialists or receive certain procedures. Obtains necessary authorizations and pre-certifications from insurance companies for procedures.

Ensures timely reimbursement. Verifies patient eligibility and benefits with insurance companies to ensure proper coverage. Position Requirements: High school diploma or equivalent At least one year of experience in a medical office setting is required. Top benefits: As a team member at Jefferson Hospital, you’ll enjoy: Comprehensive Benefits Package Health, vision, dental Paid Time Off Growth, Development, and Advancement Opportunities