Aurora Health Care · 12 hours ago
WI Referral Processing Specialist: Full Time
Aurora Health Care is a healthcare provider seeking a WI Referral Processing Specialist. The role involves collecting and processing patient data for home care, palliative care, and hospice services, while collaborating with nursing teams and ensuring quality patient care.
Health Care
Responsibilities
Collects and records medical, social and reimbursement data pertinent to patient admission to initiate home care, palliative care and hospice
Screens, documents and processes requests for home health, palliative and hospice services. This includes taking incoming calls, answering customer questions, completing intake forms, processing referral orders within EPIC or faxed referrals and documenting service requests for coordination of care; including promoting company products and service
Collaborates with the nursing team when reviewing and processing physician orders for instructions on patient's plan of care and prior to sending patients to the appropriate patient service department to ensure activities are performed within the scope of practice
Communicates and documents any new, changed, updated information, orders or referrals received within intake to the appropriate persons and/or departments as needed to not compromise the quality of care and safety of patient(s)
Responds to inquiries regarding Aurora at Home services and programs. Explains programs and services, in addition to determining if patients meet criteria for Centers for Medicare & Medicaid Services (CMS) certified agency, admission policies and/or referring requests to other community agencies when appropriate
Maintains knowledge of and reference materials of Medicare, Medicaid and third-party payer requirements, payer coverage, guidelines, documentation requirements and insurance related changes or trends
Qualification
Required
High School Graduate
Typically requires 1 year of experience in a clinical environment
Basic medical knowledge
Strong verbal and written communication skills a must including experience in data entry, multi-line phone system, and customer service experience
Excellent interpersonal skills necessary to interact with internal and external customers
Demonstrated ability to work well with physicians and other professionals
Proficient computer skills including word processing and electronic mail
Must be detail-oriented and have excellent organizational skills
Company
Aurora Health Care
At Aurora Health Care, helping people live well is what drives us – it’s our purpose and what we do every day.
H1B Sponsorship
Aurora Health Care has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (1)
2022 (2)
2021 (1)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
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