Job Summary
The Referral Representative is responsible for overseeing the referral processes, including pre-certifications and prior authorizations for pediatric patients. This role involves coordinating necessary diagnostic tests and procedures, ensuring a smooth flow of operations within the clinical setting.
Responsibilities
- Manage referrals, pre-certifications, and prior authorizations for pediatric patients.
- Coordinate diagnostic tests and procedures to facilitate patient care.
- Perform general office duties as part of the clinical administrative team.
- Verify insurance eligibility for patients to ensure coverage.
- Support the clinical team in the coordination of patient care activities.
Qualifications
- High school diploma is required.
- Previous experience in a clerical or hospital environment is necessary.
- Strong organizational skills and effective communication abilities are essential.
- Proficiency in using computer systems and familiarity with medical terminology are highly desirable.
Erlanger Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
