Referral Intake Specialist-ORC (Temporary)

Loma Linda University Health • Loma Linda, CA

13d

About The Position

The Referral Intake Specialist-ORC reviews and analyzes patient referrals for preauthorization, concurrent review, and case management across outpatient and inpatient service areas. The specialist obtains benefits and eligibility information, secures authorizations or pre-certifications as required, and schedules authorized patient appointments. The role educates and informs staff, physicians, and the community about services offered.

The position maintains working relationships with internal and external referral sources, including by traveling and completing a daily distribution and pick-up run to providers. It supports consistent communication between Rehabilitation Services and referring specialties and provides necessary updates. The position serves all areas of Rehabilitation Services and performs other duties as needed.

This is a full-time, day-shift, temporary, non-benefited position for a six-month assignment.

Requirements

• High school diploma or GED.
• At least one year of call center experience in a customer service or sales environment, or clinical experience.
• Excellent customer service and communication skills, with emphasis on telephone etiquette.
• Ability to read, write legibly, and speak English with professional quality.
• Ability to use a computer, printer, and necessary software, such as Word, Excel, and Outlook.
• Ability to operate or troubleshoot basic office and patient care equipment required for the position and perform related patient care activities.
• Ability to relate and communicate positively, effectively, and professionally with others; remain calm and courteous under pressure; collaborate; and accept direction.
• Ability to communicate effectively in English in person, in writing, and by telephone; think critically; manage multiple assignments; organize and prioritize workload; problem-solve; recall information accurately; attend to detail; and work independently with minimal supervision.
• Ability to distinguish colors as necessary; hear sufficiently for conversation and workplace sounds; and see adequately to read computer screens and necessary written documents.
• No licensure or certification required.

Nice To Haves

• At least three years of healthcare customer service call center experience.
• Spanish language ability.

Responsibilities

• Review and analyze patient referrals for preauthorization, concurrent review, and case management for outpatient and inpatient service areas.
• Obtain benefits and eligibility information and authorizations or pre-certifications as required.
• Schedule patient appointments as authorized.
• Educate and inform staff, physicians, and the community about services offered.
• Maintain working relationships with internal and external referral sources.
• Travel and complete a daily distribution and pick-up run to providers.
• Support consistent communication with referring specialties and provide necessary updates.
• Perform other duties as needed.

What This Job Offers

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