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Referral Specialist Nurse

Company: New York University
Location: New York
Posted on: May 19, 2019

Job Description:

Position Summary The Student Health Center (SHC) at New York University (NYU) is a dynamic health care service that supports the well-being and academic success of over 60,000 students studying all over the world. The SHC near Washington Square is our main facility for medical services and houses Primary Care, Women's Health, Medical Specialties, Radiology, Physical Therapy, Pharmacy and more. This site is also home to and integrated with Counseling and Wellness, one of the most robust college mental health services in the U.S The Referral Specialist is a key member of the Student Health Center (SHC) health care team who is responsible for facilitating specialty services for students who are high risk or have acute illness and require timely diagnostic testing or specialist evaluation. Additionally, the incumbent assists with referral panel management and oversight of communications between the SHC and specialists' offices. The incumbent resolves prior authorization, insurance and case-related concerns prior to a patient's appointment; gathers pertinent information from insurance carriers, SHC Insurance and Patient Accounts, and from clinical staff to be able to determine eligibility for services; acts as a liaison between medical facilities, specialist offices, medical providers, insurance plans, and patients. Qualifications Required Education: Associate's Degree and New York State Registered Nurse licence Preferred Education: Bachelor's Degree and New York State Registered Nurse license Required Experience: 3 years relevant experience in a health care setting Preferred Experience: 5 years of experience working in a healthcare setting in a clinical role Required Skills, Knowledge and Abilities: BLS certification. Basic understanding of health insurance plan terminology, eligibility, benefits, and prior approval requirements. Working understanding of medical terminology, ICD10 and CPT codes. Ability to work at an efficient and productive pace, handle interruptions appropriately and meet deadlines. Communicate and interact in a respectful and professional manner. Prioritize workload while being flexible to meet the expectations of the daily operations. Apply principles of logical thinking to define problems, establish facts, and draw valid conclusions. Problem solve using appropriate resources when necessary. Ability to understand and execute instructions, work independently with a moderate level of supervision. Strong interpersonal, verbal, and written communication skills. Excellent telephone skills and strong customer service focus. Preferred Skills, Knowledge and Abilities: Previous experience working with an Electronic Health Record Additional Information EOE/AA/Minorities/Females/Vet/Disabled/Sexual Orientation/Gender Identity

Keywords: New York University, New York , Referral Specialist Nurse, Healthcare , New York, New York

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