Elevance Health • Plano, TX 75026
Job #2694964661
Be Part of an Extraordinary Team
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.
Build the Possibilities. Make an Extraordinary Impact.
The Referral Specialist II - Patient Access - Paragon Healthcare is responsible for providing support to a clinical team in order to facilitate the administrative components of clinical referrals.
How you will make an impact:
Primary duties may include, but are not limited to:
Acts as a first level SME, ability beyond intake calls that include working on production oriented work, may include physician assisting and/or special projects.
Acts as liaison between hospital, health plans, physicians, patients, vendors and other referral sources.
Reviews complex referrals for completeness and follows up for additional information if necessary.
Assigns referrals to staff as appropriate.
Verifies insurance coverage and obtains authorizations if needed from insurance plans.
Contacts physician offices as needed to obtain demographic information or related data.
Enters referrals, documents communications and actions in system.
Enters referrals, documents communications, actions and other data in system.
Minimum Requirements:
Preferred Skills, Capabilities and Experiences:
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