Oncology Referral Specialist - New Patient

Rochester Regional Health•Rochester, MN

6d•$19 - $24•Onsite

About The Position

The Oncology Referral Specialist serves as an initial contact for patients, families, community members, and referral sources seeking cancer center services or care for people at high risk for cancer. The role coordinates with health-system administrative systems, processes, and procedures to support appropriate evaluation, care, and referrals. It focuses on a patient-centered referral process by tracking active referrals and helping ensure patients are seen promptly. The specialist processes, tracks, and obtains authorization for incoming and outgoing referrals. The position is full time in the Hematology/Oncology department at Lipson Cancer Institute – Rochester General in Rochester, New York. The schedule is Monday through Friday, either 8:00 a.m.–4:30 p.m. or 8:30 a.m.–5:00 p.m. The role is described as sedentary and primarily office-based, with prolonged sitting and minimal physical effort.

Requirements

At least 3 years of experience in a health care setting.
Excellent communication and interpersonal skills.
Ability to undertake diverse tasks and work in a multidisciplinary team.
Ability to work independently and with direction, and to communicate with staff in a fast-paced environment.
Associate’s degree in a related field, high school diploma, or equivalent is listed under desired attributes.

Nice To Haves

Associate’s degree in a related field.

Responsibilities

Provide telephone and in-person screening and initial contact with referral sources and potential patients.
Coordinate intake and referrals and determine priority needs for assessment.
Coordinate testing with physicians, patients, facilities, and payers; review medical documents for clarity, ensure necessary clinical steps have been taken, and work with relevant parties to obtain third-party approval.
Obtain procedure and diagnosis codes needed to authorize or pre-certify ordered testing.
Refer self-pay and out-of-network patients to appropriate payment resources.
Complete pre-certification and authorization with patients’ insurance companies and provide required documentation.
Document authorization or pre-certification once received, including the contact information of the person spoken with.
Contact patients to notify them of scheduled procedures and provide necessary instructions.
Monitor attendance at referred appointments and follow up as needed.
Monitor statistics and volume of patient testing and physician appointments.
Perform other duties as assigned.