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Medical Referral Analyst

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:


o    High school diploma or equivalent required; Bachelor of Science (BS) OR Associate’s degree in healthcare administration or related field preferred.o    Previous experience (1+ years) in healthcare administration, medical billing, coding, or referral management preferred.o    Familiarity with insurance policies, authorization processes, and medical terminology is a plus.·        

Skills & Abilities:


o    Exceptionally strong communication and interpersonal skills to interact effectively with patients, providers, and insurance companies.o    Excellent organizational and multitasking abilities with attention to detail.o    Proficiency in Microsoft Office 365 (Excel, Word, Outlook)o    Experience with Electronic Health Records (EHR) systems or database management.o    Ability to problem-solve and think critically in high-pressure situations.o    Knowledge of healthcare regulations, insurance requirements, and referral processes.o    Strong time management skills with the ability to handle multiple priorities.o    A team player with a commitment to fostering a collaborative culture.o    Commitment to continuous learning and skill development through ongoing training (minimum of 2 hours per month).o    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-sol...
  • Glassdoor: http://www.glassdoor.com/Overview/Working-at-Rising-Medical-Solutions- EI_IE322608.11,35.htm pages

If you are ready to join a team of professionals dedicated to making a difference and making lives better, please apply today!

Life at Rising Medical Solutions

RISING Medical Solutions is a privately-held, financial solutions organization offering medical cost containment and care management services. RISING prides itself for its entrepreneurial spirit, progressive outlook, aggressive approach and commitment to providing intelligent, compelling business outcomes for payers of medical claims.
Thrive Here & What We Value1. Continuous technological improvement2. Entrepreneurial attitude3. Seven core values (teamwork, ethical behavior, customer service, continual improvement, positive attitude, importance focus, humor)4. Quick client response5. Best over biggest6. Competitive compensation and benefits7. Relaxed work environment with jeans-allowed dress code8. Top Workplace recognition in healthcare (2023)9. People-focused company10. Opportunity to excel
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