Referral Specialist - Urology - 20 Hours Weekly at The South Bend Clinic

South Bend, Indiana, United States -

Full Time

Start Date

Immediate

Expiry Date

13 Mar, 26

Salary

0.0

Posted On

13 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Pre-Certification, Documentation, Patient Scheduling, Referral Management, Benefit Verification, Communication Skills, Computer Proficiency, Multi-Tasking, Attention to Detail, Customer Service, HIPAA Compliance, Team Collaboration, Problem Solving, Initiative, Coding Knowledge

Industry

Hospitals and Health Care

Description

Overview Department: Urology Location: Eddy Street Campus – 211 N Eddy Street, South Bend, IN 46617Hours: Part-Time; 20 Hours Weekly Join Our Team at The South Bend Clinic! At The South Bend Clinic, we strive for excellence—not just good enough. Every day, our dedicated team shows up inspired to exceed expectations, recognizing and celebrating the remarkable in everyone we encounter—inside and outside our workplace. We’re more than a healthcare provider; we’re a partner in helping people live happier, healthier lives. We seek team members who share our relentless passion and pride for making a meaningful impact. We invest in your personal and professional growth, empowering you to fulfill your purpose and leave your mark. Why Choose The South Bend Clinic? We’re committed to supporting our team members in every aspect of their lives with holistic benefits designed to help you thrive: Financial Wellness: Daily Pay: Access your earned wages when you need them. Tuition Reimbursement: Up to $5,250 per year to support your education. 401(k) Match: Plan for your future with our competitive matching program. 3-Year Vesting: Achieve full ownership of your retirement contributions in just three years. Health & Well-Being: Comprehensive medical and prescription coverage, including 100% coverage (after deductible) when using a Duly provider. Pet Health Coverage: Because your furry friends matter too. Work-Life Balance: Paid Volunteer Time: 40 hours of paid time off annually to give back to your community. Parental Leave: 12 weeks of 100% paid parental leave, plus adoption and surrogacy financial benefits for non-physician team members. Inclusive Culture: A workplace that prioritizes Diversity, Equity, and Inclusion (DEI) and is dedicated to making a positive social impact. Responsibilities Obtains insurance pre-certification for all office procedures, medications, infusions, injections, surgery, diagnostic testing, DME, imaging, and medications. Performs timely documentation of status work in applicable electronic platform. Schedules patient procedures and/or tests with appropriate departments including involved parties. Obtains referrals as necessary. Ensures patients are informed of scheduled tests/procedures and insurance requirements prior to completion. Assists in benefit verification with patient insurance company so patient knows ahead of time what they will be financially responsible for, where applicable. Coordinates precertification and authorization processes with scheduling staff so appointments can be made in a timely manner. Obtains any and all pertinent clinical health information to process authorizations, referrals, and precertifications. Reinforces instructions and explanations of tests/procedures to patients per protocol. Documents all pre-certifications/authorizations in appropriate electronic platform. Verifies demographic information, including insurance when scheduling and/or obtaining pre-cert. Handles phone calls from patients regarding their insurance requirements for tests/procedures if applicable. Compiles necessary reports regarding pre-certification. Communicates with Business Office regarding verification of complex insurance and precertification requirements. Maintains good working relationships with all contacts. Utilizes up-to-date coding information. Takes initiative to seek out tasks and duties or to assist others as necessary Exhibits computer systems knowledge and proficiency as necessary to perform job functions. Demonstrates the attitudes and behaviors of The South Bend Clinic Service Standards. Performs other duties as assigned when appropriate. Adheres to HIPAA guidelines set forth in Clinic policies and procedures. Qualifications Education/Certification/License: High school diploma or equivalent required. Knowledge, Skills, and Abilities: Prior computer experience and ability to navigate in systems required. Prefer previous procedure scheduling with strong knowledge of insurance requirements and prior medical office experience. Position requires constant and frequent sound judgment and response. Must have excellent phone communication skills; detailed focus and quality follow through; and ability to successfully multi-task

Responsibilities

The Referral Specialist is responsible for obtaining insurance pre-certifications, scheduling patient procedures, and ensuring patients are informed about their tests and insurance requirements. They also assist in benefit verification and maintain documentation in electronic platforms.