Overview
Revenue & Referral Intake Specialist Jobs in Portland – Oregon – USA at Legacy Health
Revenue & Referral Intake Specialist
US-OR-PORTLAND
Job
-37354
Type:
Regular Full-Time
Emanuel Medical Ctr campus
Overview
You know that your job is about much more than gathering referral and payer information. As a Revenue and Referral Intake Specialist, you are the important link between patients and physician referrals.
You are
the calm presence that provides all parties with the information they need for the best possible experience. You treat all parties with the dignity that is a hallmark of the Legacy community. If this describes you, we’d like you to consider this opportunity.
The Revenue and Referral Intake Specialist (RRIS) provides support to patients, providers, and staff for a wide variety of complex tasks such as initial patient registration, scheduling evaluation(s), referral, insurance authorization, charge and coding review.
Responsibilities
REFERRALS/ PRIOR AUTHORIZATION:
Processing of all referrals and prior authorizations (hereafter referred to as ‘referral’) to ensure timely handling in order to meet the department’s financial, customer service and regulatory standards.
Provides
education
and customer service to providers, staff and patients regarding the department referral process.
Provides data entry and clerical support for the referral process for both pre-paid and fee-for-service health plans.
Understands each health plan’s guidelines, benefits and basic risk models.
Understands and follows department’s referral processes and procedures.
Performs insurance verification and authorization including eligibility checks and complex phone calls to insurance companies to determine patient coverage
Performs ongoing insurance reauthorization as needed
Understands and follows department’s referral processes and procedures.
Identifies and resolves patient, provider, department and insurance company concerns, requests and problems related to referral issues.
CHARGE CAPTURE:
Monitors charge capture process to ensure timely handling in order to meet the department’s financial, customer service, and regulatory standards.
Provides assistance and direction to providers and staff on missing, incomplete or inaccurate charges.
Assists providers and staff in assigning appropriate Diagnosis and CPT codes and researching problems and/or concerns as needed.
Reviews charges and documentation to ensure appropriate use of CPT/Diagnosis coding practices. Acts as a liaison between providers and revenue cycle departments.
Verifies that billable visits have charges attached.
Works assigned Charge Review Work Queue’s and inpatient reconciliation report in a timely manner.
Acts as liaison between department staff, providers and billing department.
ACCOUNT AND PATIENT ISSUES:
Handles person-to-person patient inquiries regarding referral issues. Follows up with patient and other key players until issues are resolved.
Identifies and resolves patient, physician, department and insurance company concerns, requests and problems related to referral issues.
Problem solves issues in a professional manner.
Works cooperatively with other staff to resolve issues for …
Title: Revenue & Referral Intake Specialist
Company: Legacy Health
Location: Portland – Oregon – USA
Category: Healthcare, Administrative/Clerical
