Referral Rep at Beacon Health Systems in South Bend, Indiana

Job Description:

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  JOB SUMMARY
  
  • Reports to the Manager/Director and works under the direction of the Office Supervisor. Under general supervision and according to established policies and procedures. Responsibilities include Receptionist duties as well as scheduling specialty and/or diagnostic procedures, knowledge of ICD-10, CPT and online Authorizations. Assists in coordinating health care services to a large outpatient client population. Verifies insurance eligibility when appropriate for the physician office and/or member.
    
    
  
  


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  MISSION, VALUES and SERVICE GOALS
  
  
  
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    MISSION: We deliver outstanding care, inspire health, and connect with heart.
    VALUES: Trust. Respect. Integrity. Compassion.
    
    
  
  
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    SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
    
    
  
  
  
  


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  JOB SPECIFICATIONS
  
  
  
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    Education and Experience
    
    • The knowledge, skills and abilities as indicated are normally acquired through the successful completion of a high school diploma or equivalent; Previous medical office experience, ICD-10, CPT, online insurance eligibility/authorizations, and specialty/diagnostic referral experience preferred
      
      
    
    
  
  
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    Knowledge & Skills
    
    
    
    • Demonstrates well developed communication skills to communicate effectively and clearly to a variety of internal and external contacts.
      
      
    
    
    • Knowledgeable in ICD-10, CPT, online insurance eligibility/authorizations, and scheduling diagnostic/specialty referrals.
      
      
    
    
    • Knowledge of Allscripts, Cerner, referral database, excel, word, outlook, and net learning.
      
      
    
    
    • Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information.
      
      
    
    
    • Demonstrates analytical skills necessary to solve patient problems and interpret data.
      
      
    
    
    • Promotes collaboration and innovation in the clinical services to ensure an interdisciplinary approach to improving health care delivery and the quality of patient care.
      
      
    
    
    • Must be tactful in handling patient problems often of a highly personal and confidential nature.
      
      
    
    
    • Must be able to maintain professionalism during frustrating interpersonal situations.
      
      
    
    
    
    
  
  
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    Working Conditions
    
    
    
    • Assigned hours within your shift, starting time, or days of work are subject to change based on departmental and/or organizational needed.
      
      
    
    
    • May need to travel to other BEACON locations.
      
      
    
    
    • Understands and strives for providing excellent customer service.
      
      
    
    
    • Ability to adjust communication skills to the level of the patient.
      
      
    
    
    • Works under direct supervision, but requires independent critical thinking skills and extensive problem solving skills.
      
      
    
    
    
    
  
  
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    Physical Demands
    
    • Requires the physical ability and stamina to perform the essential functions of the position.