Referral Specialist/CHW

About the position

The Referral Specialist/CHW will be the embodiment of the hospital's mission, vision and values. They will greet patients, families and hospital guests upon arrival and assist them in navigating through all aspects of their hospital visit. The position is responsible for coordinating any additional care the patient may need inside and outside of our facility. The position is responsible for obtaining prior authorization needed for testing or services.

Responsibilities

• Promote the mission, vision, and values of the organization
• Greet all patients, families and hospital visitors with a positive, cheerful attitude
• Notifies the client of appointments scheduled, makes follow-up calls to off-site providers to ensure that client kept appointment and reminds provider to submit a Consultation Report
• Maintains competency in obtaining and inputting medical information to and from clinical and /or other information systems including accessing information as required to complete the referral process
• Screen and schedule incoming referrals
• Obtain prior authorization for diagnostic services and procedures
• Work with Clinician to assess and address patient's needs
• Assist patients in obtaining medications through prescription assistant programs and other means
• Collect data and write brief reports to meet evaluation needs to the ECHO program
• Obtain prior authorization for specialty medications, and coordinate with specialty pharmacy
• Answers questions from patients, clerical staff, and insurance companies
• Establish and maintain relationships with identified server providers
• Utilizes software to code ICD- and CPT codes
• Contact customers to obtain or relay account information
• Provides back up support to medical records and front desk registration
• Be knowledgeable on all of RGH services
• Serve as the main communications person for the department, answering and placing phone calls, taking and relaying messages for clinical staff

Requirements

• High school graduate or equivalent
• Ability to communicate effectively
• Knowledge of medical procedures and medical terminology
• Basic to intermediate computer knowledge
• One year of medical office experience required
• Typing speed: minimum 40 wpm, computer knowledge

Nice-to-haves

• Spanish speaking is preferred
• Previous customer service experience preferred
• Knowledge of CPT / ICD- coding helpful

Benefits

• 401k
• health insurance
• paid holidays