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Referral Specialist - Topsham Family Medicine

Job in Topsham, Sagadahoc County, Maine, 04086, USA
Listing for: Prime Healthcare
Full Time position
Listed on 2026-07-31
Job specializations:
  • Healthcare
    Healthcare Administration, Medical Office, Medical Billing and Coding
Job Description & How to Apply Below
Location: Topsham

Prime Healthcare - 4 Horton Place, #101 - Responsibilities:
Acts as a liaison between insurance, healthcare providers, and the clinic to ensure referrals have been processed correctly for medical specialty visits;
Schedules referrals for patients at the request of providers and/or staff;
Directly communicates with clinics, referred clinics, and patients;
Reviews clinical data to report medical necessity to insurance companies;
Performs filing/scanning of patient reports and retrieves patient records for prior authorizations or medical records; completes insurance prior authorizations
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