Insurance Referral Specialist (Central Referral Department) - (Harrisburg, PA)

Job Details Position summary: Responsible for coordination of the referral process within PHMG. Responsible for coordinating specialty referrals and diagnostic testing for the PHMG sites. Pre-certifies diagnostic testing, as required by patient's insurance. Educates the patients on various policies, procedures, and benefits, related to the need for referrals. Coordinates referrals with patients and specialist's offices, and process insurance referrals as required. Acts as a liaison between patient, physician and insurance company, consistently performing activities in a friendly, courteous and professional manner. Position requirements: High-school graduate. Medical Secretary or Receptionist with 2-three years' background in a physician's office or out-patient facility. Knowledge of Electronic Medical Records/Electronic Health Info systems. Knowledge of medical terminology, CPT and ICD-10 coding. Knowledge of insurance companies, guidelines and requirements, authorization and referral process and web sites.