Orders and Referrals Specialist

HarmonyCares•UNAVAILABLE, UNAVAILABLE

About The Position

The Orders and Referrals Specialist processes and follows up on HarmonyCares Medical Group orders and referrals. The role also assists with scheduling specialist referrals, external diagnostic testing, and external radiology services. It coordinates appointments and related information among patients, caregivers, providers, facilities, and internal teams to help ensure ordered services are completed and necessary records are available.

Requirements

Graduate of an approved Medical Administrative Support program, or one year of medical clinical experience that includes keyboarding and experience interacting with people by telephone, or one year of receptionist experience with high-volume calls.
Three years of customer service experience.
Experience multitasking.
Strong written and spoken communication skills.
Proficiency with electronic health records (EHR) systems, call center technology, and Microsoft Office Suite.
Ability to communicate effectively with patients, family members, and facility staff.
Knowledge of basic principles, practices, and techniques in primary healthcare.
Ability to read and interpret written information and write clearly and informatively.
Ability to speak clearly and persuasively in positive or negative situations, listen and obtain clarification, and respond well to questions.

Nice To Haves

Familiarity with Medicare and Medicaid insurance and programs.
Experience with Aprima (EHR).
Medical scheduling experience.
Experience with referrals and orders.

Responsibilities

Manage end-to-end processing of orders and referrals in accordance with established processes and procedures.
Coordinate and schedule appointments with specialists, diagnostic facilities, and other healthcare providers, considering urgency, availability, and insurance coverage.
Provide patients with maps, facility locations, and direct dial numbers for specialists, diagnostic facilities, and other healthcare providers as needed.
Coordinate with the Health Information Management (HIM) team to ensure required records, imaging, and procedural results are available to external providers before appointments.
Communicate and share necessary patient information to schedule home and durable medical equipment (DME) services and orders.
Follow up with patients and providers to confirm that ordered services were completed or ordered equipment was received.
Answer and resolve inbound calls from patients, caregivers, and providers about ordered services, including clarification questions, scheduling inquiries, and status updates.
Perform other duties as assigned.