Vacancy Description
**Full-time| M-F, 8am-4:30pm| PG7| Weekly earned wage access is an option for this position.**
**Job Purpose or Objective(s):** The Referred Care Specialist coordinates patient referrals for external healthcare services and ensures all aspects of the Choctaw Referred Care (CRC) process are completed in alignment with organizational guidelines and federal requirements. You will support patients through scheduling, claims processing, eligibility review, denial communication, and appeals, while maintaining communication with providers and internal stakeholders. You will report to the Manager.
**Primary Tasks:**
1. Process and coordinate referrals for external healthcare services by following CRC program guidelines and ensuring pre-authorization requirements are met.
2. Verify patient eligibility for CRC services based on descent, residency, and alternate resource requirements.
3. Communicate with outside providers and vendors to schedule services, obtain necessary documenta...
**Job Purpose or Objective(s):** The Referred Care Specialist coordinates patient referrals for external healthcare services and ensures all aspects of the Choctaw Referred Care (CRC) process are completed in alignment with organizational guidelines and federal requirements. You will support patients through scheduling, claims processing, eligibility review, denial communication, and appeals, while maintaining communication with providers and internal stakeholders. You will report to the Manager.
**Primary Tasks:**
1. Process and coordinate referrals for external healthcare services by following CRC program guidelines and ensuring pre-authorization requirements are met.
2. Verify patient eligibility for CRC services based on descent, residency, and alternate resource requirements.
3. Communicate with outside providers and vendors to schedule services, obtain necessary documenta...
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