Referral Specialist I

York, PA | Clerical and Administrative | Tracking Code: 63109

Position Summary:

Job Description:

Under the general supervision of the Supervisor-Contact Center, performs a variety of support functions for each assigned practice including, but not limited to, scheduling, insurance verification, obtaining authorizations and referrals and record management.

 

Duties and Responsibilities

Essential Accountabilities:

  1. Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.
  2. Ensures patient confidentiality.
  3. Manages the insurance referral process according to policy. Keeps staff current on changes.
  4. Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME and medications.
  5. Provides insurance company with clinical information necessary to secure authorizations.
  6. Communicates with clinical team when authorization is unable to be obtained.
  7. Maintains referral record in electronic medical record.
 

Qualifications

 

  • Minimum Experience:
    • 1 – 2 years of medical insurance experience or experience obtaining authorizations and referrals from insurance companies; medical front office experience preferred
    • Req Course(s)/TrainingMedical terminology within 6 months of hire
  • Minimum Education:
    • High School or G.E.D.
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Why WellSpan Health?

WellSpan Health is an integrated health system that serves the communities of central Pennsylvania and northern Maryland. The organization comprises a multispecialty medical group of more than 1,600 physicians and advanced practice providers, a regional behavioral health organization, a home care organization, eight respected hospitals, more than 20,000 employees and 200 patient care locations. WellSpan is a charitable, mission-driven organization committed to exceptional care for all, lifelong wellness and healthy communities. We are committed to transforming the health of the communities we serve and to educating the next generation of clinicians, staff and leaders.

Employment Benefits

  • Sign-on incentives for new employees (click here for details)
  • Medical, dental and vision insurance
  • Life and accidental death insurance
  • Supplemental life insurance
  • Retirement savings plan
  • Paid time off (PTO)
  • PTO bridging
  • Short-term disability
  • Educational assistance
  • Forgivable loan
  • Flexible spending
  • Credit union
  • Employee recreational activities
  • Childcare
  • Complimentary medicine discounts

Diversity & Inclusion

Welcome. Respect. Value.

Wellspan Health believes that diversity includes all the human characteristics that make each of us similar as well as different. We strive to make every person feel welcomed, respected, and valued while creating a safe and inclusive environment where we all have the individual freedom to express our uniqueness in a respectful manner.

WellSpan Health is an equal opportunity employer. Employment selection and related decisions are made without regard to sex, race, age, disability, religion, national origin, color or any other protected class. WellSpan Health does, however, have a tobacco-free/nicotine-free hiring policy.

Quality of Life

Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.

Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more — within an easy drive of major East Coast cities.

York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)