Referral Specialist I
About The Position
Under the supervision of the Health Center Manager, the Referral Specialist I is part of a team that includes other support staff members and healthcare providers. The Referral Specialist I is primarily responsible for tracking the status of provider-directed referrals, including closing out referral tasks by obtaining and properly documenting reports resulting from referrals. As a Referral Specialist, I may also intermittently perform additional tasks, including scheduling appointments, verifying insurance information, and providing other assistance to ensure that provider-generated referrals for FCCH patients are performed efficiently and effectively.
Requirements
- High school diploma or GED
- At least one year of medical office or other related healthcare experience.
- English proficiency, to include reading, writing and verbal communication;
- Demonstrable working proficiency using Microsoft Office applications, including Word, Excel and Outlook;
- Excellent organizational and time management skills;
- Demonstrated knowledge of medical terminology/standard medical acronyms;
- Working knowledge of ICD-10/CPT coding;
- Ability to interact and communicate with others in a professional manner, in person and over the telephone and often in stressful situations;
- Ability to apply excellent customer service skills;
- Efficient, effective work ethic required in order to accomplish assigned tasks in a fast-paced office environment;
- Ability to work well as a collaborative member of a team;
- Demonstrated knowledge of patient care charts and patient medical histories;
- Ability to maintain calendars and schedule appointments;
- Appropriate knowledge of related accreditation and certification requirements;
- Records maintenance skills;
- Maintains knowledge of patient registration procedures and documentation;
- Ability to analyze and solve problems;
- Appropriate knowledge and familiarity with various compliance programs and elements. Cooperates fully and complies with applicable laws and regulations;
- Knowledge and familiarity with compliance program. Cooperate fully and comply with laws and regulations;
Nice To Haves
- Bi-lingual Spanish-speaking skills highly preferred
- Experience in a multiple provider setting
- Experience with electronic health records and healthcare practice management systems preferred
- Medical assisting skills/certification/experience is highly preferred
- CPR certification required within 6 months of hire.
Responsibilities
- Maintains ongoing tracking of and appropriate documentation regarding the status of provider-directed patient referrals, to include system sufficient to report data and status to others;
- Helps ensure complete and accurate patient registration information, to include demographic data and current health insurance information;
- Communicates with patients, providers and other staff regarding the status of referrals;
- May contact insurance companies to confirm that prior approval requirement are met and/or to provide needed patient information(e.g., health history, diagnosis, prognosis, provider visit documentation);
- May schedule patient referral appointment, to include provision and dispensation of necessary paperwork and related patient instructions;
- Attends and contributes to meeting as needed or required;
- Performs miscellaneous job-related duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
11-50 employees
