Referral Services Specialist - Referral Management - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
About The Position
In collaboration with the interdisciplinary team, the Referral Services Specialist provides clinical and financial care coordination by evaluating options and services needed to meet an individual's health care needs and promote cost-effective, quality outcomes. The specialist serves as a consultant to the health care team for specific patient populations, assesses the needs of individuals and families, helps develop interdisciplinary plans of care, coordinates care across service sites, evaluates service effectiveness, and negotiates for resources. The role directs patient admissions and manages the patient entry process, confers with physicians and physician extenders to assess the medical necessity of admissions, and ensures appropriate documentation. Within the Keck Referral Center, the specialist coordinates care, supports development of interdisciplinary care plans, and coordinates care across service sites. The specialist manages the process for patients entering USC Care Ambulatory Services, including transcribing incoming referrals, collecting medical records and minimum data sets, and completing other assigned duties.
Requirements
- High school diploma or equivalent.
- Three years of healthcare experience; a bachelor's or master's degree in business administration, health administration, or a related field may substitute for experience.
- Organization and time-management skills.
- Demonstrated excellent customer-service behavior.
- Excellent verbal and written communication skills.
- Ability to use computer systems or specified equipment essential to the related areas.
- Fire Life Safety Training (LA City); if the card is not held upon hire, it must be obtained within 30 days of hire and maintained through renewal before expiration (required within LA City only).
Nice To Haves
- Graduate of an accredited Medical Assistant or LVN program.
- One year of scheduling, case management, or utilization review experience.
- Certified Medical Assistant (CMA) or valid California LVN license.
Responsibilities
- Review incoming referrals daily and maintain positive working relationships with patients and referring physicians.
- Transcribe incoming referrals into Ambulatory Referral Management.
- Determine the preferred method and frequency of communication with patients, including email, mail, or phone calls.
- Review the referrals worklist in Ambulatory Referral Management daily.
- Adhere to USC policies, procedures, and standards.
- Attend mandatory departmental staff meetings.
- Provide requested literature and follow up regarding literature provided.
- Provide pertinent patient and physician feedback to the Marketing Department.
- Provide clinical information regarding protocols as requested.
- Collaborate with USC Care clinical staff, Norris physicians, and other clinical staff regarding new-patient consultations.
- Collaborate with financial counselors regarding financial issues related to new-patient referrals.
- Collaborate with Medical Records to ensure timely processing of consultations.
- Assist with developing and maintaining a departmental database to track and trend new-patient calls for administrative and marketing purposes.
- Direct patient admissions and manage the patient entry process.
- Ensure appropriate transcription of incoming referrals and collection of medical records and minimum data sets.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
