Job Title: Referral SpecialistJob Description
The Referral Specialist processes and coordinates internal and external referrals to specialty providers, ensuring patients receive timely and accurate access to needed services. This role manages insurance verification, prior authorizations, and referral documentation while maintaining clear communication with patients, providers, and specialty offices in a fast-paced medical office environment.
Responsibilities

+ Process and coordinate internal and external referrals to specialty providers in an accurate and timely manner.

+ Verify insurance coverage for each referral and obtain prior authorizations as required by health plans or IPAs.

+ Submit referral requests to health plans, IPAs, or specialty offices and track status updates until completion.

+ Ensure all supporting documentation, including chart notes, laboratory results, and imaging reports, is complete and attached to each referral.
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