Referral Intake Specialist-ORC

Loma Linda • Loma Linda, CA

12h • $25 - $28

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 patient appointments as authorized. The role educates and informs staff, physicians, and the community about services offered. It maintains working relationships with internal and external referral sources by traveling and completing a daily distribution and pickup run to providers, helping Rehabilitation Services remain in consistent communication with referring specialties and provide necessary updates. The position serves all areas of Rehabilitation Services and performs other duties as needed.

Loma Linda University Health is a Seventh-day Adventist, faith- and values-based Christian institution. Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities. Its mission is to continue the teaching and healing ministry of Jesus Christ, and its core values are compassion, excellence, humility, integrity, justice, teamwork, and wholeness.

Requirements

• High school diploma or GED.
• At least one year of call center experience in a customer service or sales environment, or clinical experience.
• Demonstrated excellent customer service and good communication skills, with an emphasis on telephone etiquette.
• Ability to read, write legibly, and speak English with professional quality.
• Ability to use a computer, printer, and necessary software programs such as Word, Excel, and Outlook.
• Ability to operate and troubleshoot basic office and patient care equipment required for the position and perform related patient care activities.
• Ability to communicate positively, effectively, and professionally; work calmly and respond courteously under pressure; collaborate; and accept direction.
• Ability to communicate effectively in English in person, in writing, and on the telephone.
• Ability to think critically, manage multiple assignments, organize and prioritize workload, problem-solve, recall information accurately, pay close attention to detail, and work independently with minimal supervision.
• Ability to distinguish colors as necessary, hear sufficiently for general conversation and workplace sounds, and see adequately to read computer screens and written documents.
• Candidates must understand and embrace the mission, purpose, and identity of Loma Linda and its affiliated entities.

Nice To Haves

• At least three years of experience in a healthcare customer service call center.
• Spanish language skills.

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 required authorizations or pre-certifications.
• 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 by traveling and completing a daily distribution and pickup run to providers.
• Support consistent communication between Rehabilitation Services and referring specialties and provide necessary updates.
• Serve all areas of Rehabilitation Services.
• Perform other duties as needed.

What This Job Offers

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