Medical Referrals Specialist
5 days ago
Virtual Staffing Solutions is currently looking for Medical Referrals Specialists to join our growing healthcare support team. In this role, you will play a key part in managing patient referrals by verifying insurance coverage, securing authorizations, and ensuring that all referral-related documentation is accurate and complete. You will help ensure patients receive timely access to the care they need while supporting efficient billing and claims processing.
Key Responsibilities- Obtain, process, and track referrals and authorizations accurately and on time, including urgent and stat cases.
- Communicate referral and authorization details with patients, providers, and specialists.
- Monitor referral statuses in the EMR and follow up until fully resolved.
- Coordinate re-authorizations to prevent lapses in patient care.
- Assist patients with specialist appointment scheduling when needed.
- Review consultation reports and ensure timely processing of follow-ups.
- Handle referral-related inquiries via phone, portal, walk-ins, or mail.
- Serve as the main point of contact for providers and staff on referrals and scheduling.
- Maintain proper documentation in compliance with clinic and regulatory standards.
- Act as a liaison between patients, clinics, and care teams to support continuity of care
- Minimum of 1 year BPO experience in US Medical Billing or a related field
- Strong knowledge of US billing, collections, coding, and healthcare regulations
- Experience in assigning ICD-10 and CPT codes is an advantage
- Excellent written and verbal communication skills
We specialize in delivering innovative solutions and exceptional services to meet the diverse needs of our clients. With a strong commitment to quality and customer satisfaction, we strive to exceed expectations and drive success in every project we undertake.
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Medical Claims and Referrals Specialist
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Medical Records Specialist
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Non-Employee Referral
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Non-Employee Referral
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Medical Billing Specialist
1 hour ago
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