High Risk Clinical Referral Specialist

Rural Health Group, Inc.•Roanoke Rapids, NC

58d•Onsite

About The Position

Rural Health Group is seeking a full-time High Risk Clinical Referral Specialist at our Halifax Medical Specialists clinic. Successful candidate must demonstrate the Rural Health Group Core Competencies, which include: Good Judgment Communication/Customer Service/Teamwork Passion Honesty Responsibility Job-Specific Skill Set

Requirements

Active North Carolina LPN License or MA Certification is preferred but not required
Outpatient physician office experience strongly preferred
Ability to multi-task and work efficiently in a potentially stressful environment
Ability to apply common sense understanding when carrying out detailed written or oral instructions
Ability to establish and maintain positive, effective, professional relationships with patients, providers, coworkers, and superiors
Possess knowledge of modern office equipment, Microsoft Office software programs, medical practice management systems, and basic computer skills (including the ability to type)
Must be able to quickly learn to use eClinicalWorks electronic health record system
Must have excellent organizational, telephone, and verbal and written communication skills
Physical Demands: Must be able to sit for long periods of time. Must be able to lift 25-50 pounds. Must be able to ambulate for extended periods of time.
Embraces the team concept; encourages and models healthy, productive team behavior

Nice To Haves

Bilingual (English/Spanish) is a plus, but not required - applicants who may serve in a translating capacity will be required to take a language assessment

Responsibilities

Responsible for scheduling STAT/URGENT referrals, tracking referrals and tracking hig risk referrals and actions
Responsible for obtaining prior authorization from Insurance carriers for ordered Diagnostic Testing/ Procedures and ordered Specialty Referrals.
Maintains confidentiality of patient health records and other information as required by applicable laws
Processes referrals in a timely fashion, including sorting and processing referrals by indicated urgency and date
Refers patients to specialists based on available medical, financial, and transportation resources
Documents and enters all referrals appropriately in patients' health record
Reviews with patients the referral details including their own responsibilities
Verifies that providers have sufficiently documented the reason for the referral and have done the appropriate workups prior to the referral
Assembles and forwards complete and accurate documentation
Maintains ongoing tracking of all referrals
Handles incoming phone calls and responds to requests for information from patients and outside sources
Performs other duties as assigned
Actively participates in quality improvement teams/meetings
Monitors and tracks high risk and current cancers.