Referral Services Specialist - Referral Management - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
About The Position
The Referral Services Specialist provides clinical and financial care coordination in collaboration with interdisciplinary teams. The role evaluates options and services to address patients’ health care needs and promote quality, cost-effective outcomes. The specialist consults with health care team members, assesses patient and family needs, supports interdisciplinary care planning, coordinates care across service sites, and evaluates service effectiveness. The specialist also directs patient admissions and manages the entry process, reviewing medical admitting information with physicians and physician extenders to assess necessity and ensure appropriate documentation. Within the Keck Referral Center, the specialist coordinates care for patients entering USC Care Ambulatory Services. The role processes incoming referrals, collects medical records and minimum data sets, and collaborates with clinical staff, physicians, financial counselors, and Medical Records to support new-patient consultations and timely referral processing.
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.
- 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 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
- Specialized or technical training.
- Graduation from an accredited Medical Assistant or LVN program.
- One year of scheduling, case management, or utilization review experience.
- Certified Medical Assistant (CMA) certification or a valid California LVN license.
Responsibilities
- Review incoming referrals and establish positive working relationships with patients and referring physicians.
- Transcribe incoming referrals into Ambulatory Referral Management.
- Determine patients’ preferred means and frequency of communication, including email, mail, and phone.
- Review the referrals worklist in Ambulatory Referral Management daily.
- Direct patient admissions and manage the patient entry process into USC Care Ambulatory Services.
- Ensure appropriate transcription of incoming referrals and collection of medical records and minimum data sets.
- Provide requested literature and follow up regarding literature provided.
- Provide pertinent patient and physician feedback to the Marketing Department.
- Provide clinical information regarding protocols when 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 in developing and maintaining a departmental database to track and trend new-patient calls for administrative and marketing purposes.
- Adhere to USC policies, procedures, and standards.
- Attend mandatory departmental staff meetings.
- Perform other duties as assigned.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
