Rising Medical Solutions
Medical Cost Containment • Medical Bill Negotiation • Medicare Set Aside Workers Compensation • Utlization Review Services • Medicare Set Aside Administration
Medical Referral Analyst
5 days ago
Rising Medical Solutions
Medical Cost Containment • Medical Bill Negotiation • Medicare Set Aside Workers Compensation • Utlization Review Services • Medicare Set Aside Administration
Description
• We are seeking a detail-oriented and highly organized Ancillary Medical Services Referral Analyst to join our team! • In this role, you will manage and coordinate the referral process for ancillary medical services, ensuring that patients receive the appropriate care in a timely and efficient manner. You will work closely with healthcare providers, patients, insurance companies, and internal departments to facilitate the referral process, track authorizations, and resolve issues. • This person will act as a liaison between patients, healthcare providers, insurance companies, and the internal referral team to coordinate and expedite referrals. A strong sense of follow through is required to document, communicate, and keep meticulous records to facilitate the care of our patients.
Requirements
• Education & Experience: • High school diploma or equivalent required; Bachelor of Science (BS) OR Associate’s degree in healthcare administration or related field preferred. • Previous experience (1+ years) in healthcare administration, medical billing, coding, or referral management preferred. • Familiarity with insurance policies, authorization processes, and medical terminology is a plus. • Skills & Abilities: • Exceptionally strong communication and interpersonal skills to interact effectively with patients, providers, and insurance companies. • Excellent organizational and multitasking abilities with attention to detail. • Proficiency in Microsoft Office 365 (Excel, Word, Outlook) • Experience with Electronic Health Records (EHR) systems or database management. • Ability to problem-solve and think critically in high-pressure situations. • Knowledge of healthcare regulations, insurance requirements, and referral processes. • Strong time management skills with the ability to handle multiple priorities. • A team player with a commitment to fostering a collaborative culture. • Commitment to continuous learning and skill development through ongoing training (minimum of 2 hours per month). • Adhere to company policies, procedures, and reporting requirements.
Benefits
• Competitive base salary, profit sharing, 401k matching, generous time off, and career growth opportunities • A relaxed, yet upbeat, work environment, with a jeans professional dress code • Rising was named a Top Workplace in the healthcare industry for 2023! Check out our profile here: Rising Medical Solutions, Inc Profile (topworkplaces.com) • We're on YouTube! Check out our culture at: http://www.youtube.com/user/RisingMedical • Want to see more? Check out our: • Facebook: https://www.facebook.com/RisingMedicalSolutions • LinkedIn: http://www.linkedin.com/company/rising-medical-solutions • Glassdoor: http://www.glassdoor.com/Overview/Working-at-Rising-Medical-Solutions- EI_IE322608.11,35.htm pages
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🇺🇸 United States – Remote
💵 $80k - $110k / year
💰 Private Equity Round on 2017-10
⏰ Full Time
🟢 Junior
🧐 Analyst
🦅 H1B Visa Sponsor