Patient Referral Specialist

Advance Community Health • Raleigh, NC

2d • Onsite

About The Position

The Patient Referral Specialist is responsible for providing face-to-face quality customer service to all patients and coworkers while accurately organizing, processing, and completing all patient referrals duties. This position may serve teams to provide quality and patient-focused healthcare.

Requirements

• Minimum of High school Diploma or GED.
• 1-2 years related experience working as a receptionist or front desk in a medical or dental office.
• Strong computer skills with knowledge of Microsoft Word, Excel.
• Healthcare experience.
• Non-profit and/or community health experience.
• EPIC EHR system experience.
• Experience multi-tasking while providing quality customer service.

Nice To Haves

• Bilingual

Responsibilities

• Coordination and timely follow-up on all patient referrals to other medical sites.
• Obtain request from doctor, research patient’s managed care organization for proper providers and educate patient about referral guidelines or policies.
• Obtain current identification for managed care, prepare certification as required and prepare authorization with patient diagnosis and request from primary care physician.
• Make appointments and request follow-up information.
• Review and explain process for referral to patient, including but not limited to what is involved, who providers are and how to get to hospital or referral specialist’s office.
• Maintain up-to-date knowledge of referral guidelines, active providers, necessary coverage information, insurance requirements necessary for pre-certification.
• Maintain adequate records for risk management on referrals to completion of patients needing to be seen outside of ACH.
• Timely mail, fax or communicate appropriate records, certificates, and authorizations to appropriate persons for the completion of the referral process accurately and timely.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED