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The Referral Specialist coordinates patient care between external providers and organizations to ensure seamless transitions and high-quality referrals. They manage outgoing and incoming orders, verify medical necessity, and maintain communication with patients and specialty offices.
Job Title: Referral Specialist
Position Overview:
The Referral Specialist is responsible for coordinating care for patients between external providers and organizations (e.g. other physician offices, community service agencies, and hospital/emergency facilities) and for providing high quality referrals and transitions; ensuring that all involved providers, facilities, and patients have the information and resources needed to coordinate care for the patient. Reviews clinical data to report medical necessity to insurance companies and establishes relationships and agreements among providers that lead to shared expectations for communication and care. Supports Referrals team members with shared tasks on a daily/weekly basis.
Responsibilities:
Required Education & Skills:
Physical Requirements:
Tribe is an Equal Opportunity Employer.
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