Referral Specialist

Nashville General Hospital•Nashville, TN

9d•Onsite

About The Position

Nashville General Hospital is hiring for a Referral Specialist for Patient Access Services as a full-time job in Nashville, Tennessee. The Referral Specialist is responsible for processing, follow up and communication to patients regarding referrals that are generated by internal or external providers. This position will work with pre-cert for authorizations for patient services. This position is responsible for maintaining knowledge of insurance coverage’s, documentation of authorizations, and communicates the status of referrals to the clinical staff.

Requirements

2 years Healthcare Medical Receptionist/Information Clerk required.)
Two years of related clinical experience required, preferably in ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers.
Two years of experience in information systems with scheduling and resource management emphasis, highly desirable.
3 years of related experience, preferably in patient access, scheduling or pre-registration.
Ability to understand basic clinical terminology and medical insurance terminology across multiple clinic specialties and with multiple providers.

Responsibilities

Establish effective communication systems and mutually beneficial relationships with external and internal suppliers and partners
Create and maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
Ensure complete and accurate registration, including patient demographic and current insurance information
Assemble complete information concerning patient’s clinical background and referral needs.
Per referral guidelines, provide appropriate clinical information to specialist.

Benefits

Medical, Dental, and Vision Insurance within first 31 days of employment
Programs to reduce share of deductible and total out-of-pocket expenses
Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses (see NGH providers without co-pays)
Short and Long-Term Disability - up to 60% of eligible weekly pay
Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
Retirement Plan - eligible up to IRS max limits and includes company contribution
Shift and Weekend Differential Pay Offered on Nights and Weekends
Tuition Reimbursement for employee and dependents
12 paid holidays - any holiday worked is another holiday banked
Flexible Spending Accounts
Onsite Gym
Free Parking for all employees