Registration Referral Specialist

Accountabilities:: Monitor and manage incoming patient referrals, ensuring they are reviewed and processed within established timelines. Maintain accurate referral tracking and documentation to support patient record integrity, compliance, and safety. Navigate client management systems and insurance company websites to locate and review diagnostic imaging orders, including CT scans, MRI scans, and PET scans. Initiate and manage insurance authorization requests through online portals, fax, and telephone communication. Review relevant patient clinical information and respond to insurance-related questions to obtain the necessary authorizations before scheduled procedures. Coordinate with insurance representatives to follow up on pending authorization requests, resolve issues, and address denied cases. Communicate professionally with physicians and healthcare providers when additional clinical information or direct intervention is required to secure authorization. Support providers in resolving authorization denials, including coordinating requests for physicians to speak directly with insurance company clinical reviewers when necessary. Establish and maintain effective working relationships with healthcare providers, service partners, and other relevant stakeholders. Serve as a primary point of contact for patients and their families, helping them navigate referral processes and responding to questions or concerns. Collect, organize, and review relevant patient clinical backgrounds and referral documentation to ensure all required information is available. Coordinate communication between patients, families, healthcare providers, and insurance companies to facilitate timely referral processing. Identify missing information, documentation inconsistencies, and potential delays, taking appropriate action to resolve them. Uphold patient confidentiality, documentation standards, and applicable compliance and safety requirements. Deliver professional, empathetic, and customer-focused service throughout the referral and authorization process. Requirements: High school diploma or equivalent required. Previous experience in healthcare administration, patient registration, referral coordination, medical billing, insurance authorization, or customer service is an advantage. Familiarity with medical terminology and diagnostic imaging procedures, including CT scans, MRI scans, and PET scans, is beneficial. Understanding of healthcare referrals, insurance authorization procedures, and patient documentation requirements is preferred. Strong computer literacy, including prior experience using computers, keyboarding, online systems, and web-based platforms. Ability to navigate multiple client management systems and insurance websites efficiently. Excellent written and verbal communication skills, with clear, concise, and professional telephone etiquette. Exceptional customer service skills and the ability to communicate effectively with patients, families, healthcare professionals, insurance representatives, and the general public. Strong organizational skills and attention to detail, particularly when managing patient records, referral documentation, and authorization requests. Basic mathematical skills, including addition, subtraction, multiplication, division, and percentage calculations. Strong analytical and problem-solving abilities, with the capacity to identify issues, gather relevant information, establish facts, and reach appropriate conclusions. Ability to prepare professional business correspondence, including emails, letters, and other written communications. Ability to work efficiently in a fast-paced environment while managing multiple requests and competing priorities. Self-motivated and proactive, with a strong work ethic and the ability to work independently as well as collaboratively within a team. Professional, patient-focused attitude and the ability to handle sensitive information with discretion and care. Flexibility and adaptability when responding to changing workloads and operational requirements. Must be available to work within the required Monday-to-Friday schedule, between 7:30 AM and 6:30 PM. Benefits: Hourly salary: $14–$19 USD, depending on experience. Fully remote working arrangement within the United States. Comprehensive medical, dental, and vision insurance through established providers. 401(k) retirement savings plan with employer matching contributions. Employer-paid accident and disability insurance. Long-term disability insurance. Employee Assistance Program (EAP), providing access to additional personal and professional support resources. Travel assistance coverage. Tuition reimbursement to support continuing education and professional development. Paid time off (PTO). Dedicated wellness days. Paid holidays. Flexible Spending Account (FSA) options. Identity theft protection benefits. Pre-tax commuter benefits. Additional employee wellness, financial support, and development programs. Inclusive and supportive working environment that values employee contributions, diversity, and collaboration. Opportunities to participate in employee engagement activities, recognition initiatives, and charitable community programs.