At WellStar we all share common goals. That's what makes us so successful and such an integral part of our communities.
We want the same things, for our organization, for our patients, and for our colleagues. As the largest not-for-profit healthcare system in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare.
The Referral Specialist is responsible for handling the referral process for specialized procedures in the ambulatory setting, ensuring that appropriate authorizations are requested, received and recorded in tapestry. The pre-authorizer acts as the primary source for staff regarding authorizations, insurance plans, and specific procedural codes.
The job duties include tracking of the patients and ensuring follow through. This is a clerical position working in a clinic with multiple providers and support staff. Work situations require a poised individual, courteous manner, discretion, organization skills, and good judgment.
Knowledge of all department functions and various insurance plan provisions is essential. This position requires extensive interaction with external customers to include other physician offices, insurance plans, and patients. Internal contacts include the nursing staff, providers, and centralized call center staff.
Required Minimum Education:High School graduate or equivalent preferred
Required Minimum Experience: Two(2) years previous clerical experience, in a medical office preferred
Required Minimum Skills:
Experience with CPT and ICD-9 coding, preferred, staff training experience, leadership skills and experience, preferred
Wellstar Health System, Inc.