Referral Representative (51053)

HealthLinc•La Porte, IN

1d•Onsite

About The Position

As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director. JOB RESPONSIBILITIES: Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process. Checks Medicaid, Medicare, and private insurance websites for patients provider coverage. Completes referral information for patients as requested by the Providers. Maintains and updates referral resource binder. Manages open referral orders by finding documents and follows up with all parties involved. Assists with patient phone calls and questions. Follows up with specialty clinics to coordinate patients medical information flow. Maintains accurate and timely documentation. Obtain prior authorization for specific testing. All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH). Perform other duties as assigned.

Requirements

High school diploma or equivalent
At least 1-2 years of experience in a medical administrative position
At least 1-2 years of experience in a customer service position
Strong organizational and time management skills
Strong customer service skills
Proven ability to work well in a team environment
Excellent verbal and written communication skills
Ability to follow HealthLinc policies and procedures
Operate a multi-line phone system and other office equipment including printers, fax machines, etc.
Basic computer skills (Microsoft Office, EHR, online sources, etc.)

Nice To Haves

Some college (not required but highly preferred)
Proven experience with basic medical terminology (not required but highly preferred)

Responsibilities

Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.
Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.
Completes referral information for patients as requested by the Providers.
Maintains and updates referral resource binder.
Manages open referral orders by finding documents and follows up with all parties involved.
Assists with patient phone calls and questions.
Follows up with specialty clinics to coordinate patients medical information flow.
Maintains accurate and timely documentation.
Obtain prior authorization for specific testing.
All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
Perform other duties as assigned.