Referral Specialist I - Endocrinology

Chambersburg, PA | Physician Practices | Tracking Code: 71288

Schedule & Location

Hours: Full Time, Day Shift (80 hours every 2 weeks) 

Location: Endocrinology - 601 Norland Ave. Chambersburg, PA 17201

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

  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.
 

NonEssential Accountabilities:

  1. Establishes and maintains files and records on an ongoing basis.
  2. Opens and routes incoming mail; distributes correspondence and other material to staff.
  3. Attends meetings as required.
  4. Performs other related duties as identified.
 

Common Expectations:

  1. Maintains established policies and procedures, objectives, quality assessment and safety standards.
  2. Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
 

Qualifications

  • Notes:
    • Other combinations of formal education, training and experience may be considered.
  • Minimum Experience:
    • 1 – 2 years of medical insurance experience or experience obtaining authorizations and referrals from insurance companies; medical front office experience preferred
  • Minimum Education:
    • High School or G.E.D.
  • Required Courses:
    • Medical terminology within 6 months of hire
  • Physical Demands:
    • Mostly sedentary work
    • Occasional prolonged standing/walking
    • Lifts supplies/equipment
    • Occasional reaching, stooping, bending, kneeling, crouching
Marcus Schneider
Marcus Schneider
Sr. Talent Acquisition Consultant
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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

Franklin County, named after Benjamin Franklin, was officially formed in 1784. One of its two main towns, the borough of Chambersburg, lies 13 miles north of Maryland, and is known for its "green, safe environment." In the southern part of Franklin County, the borough of Waynesboro sits just two miles north of the Mason-Dixon Line and is known for its rich industrial history.

Franklin County is in the heart of South-Central Pennsylvania where you'll find mountains, lakes, and a picturesque countryside coupled with theater, music, skiing, hunting, fishing, and much more. We're in the heart of America's fruit orchards, so peaches, apples, and lots of other local produce are available close by. The area features local wineries and breweries, along with a vibrant arts scene at the historic Capitol Theatre and Totem Pole Playhouse. Franklin County merges the best of small-town friendliness with easy access to metropolitan areas. (Patient population: 154,000)