Referral Specialist- Lead

Rochester Regional Health

20h•Onsite

About The Position

The Oncology Referral Specialist-Lead is responsible for providing exceptional customer service and care to all patients and is responsible for the coordination of patient care and administrative tasks. The Specialty Patient Care Coordinator has administrative responsibilities including patient greeting, check-in, answering phones, triaging phone calls, scanning, complex scheduling and coordination for exams and procedures and regularly communicating with clinicians and office staff. The specialty patient care coordinator also prepares and maintains patient charts, obtains results not otherwise found in the electronic record, and obtains pre-certifications and authorizations for patients care. Communicating in a calm and professional manner is a necessity.

Requirements

Five years of experience in a healthcare setting

Nice To Haves

Associate’s Degree in a related field
Medical reception or secretarial work experience in a specialty practice
Experience leading a group of employees
Excellent communication and interpersonal skills
Problem solving and critical thinking skills
Ability to undertake a variety of diverse tasks and work in a multidisciplinary team
Ability to think and work independently and with direction, and communicate with staff members in a fast-paced environment.

Responsibilities

Through mentoring, coaching and positive reinforcement, provides leadership/direction and assists a supervisor/manager in facilitating the workflow for a team of specialty coordinators, to ensure duties are completed timely and accurately while meeting regulatory standards.
Orient new team members and provide orientation feedback to team member and manager
Under the direction of a supervisor/manager, may assist with personnel duties such as orientation, training, and providing feedback for performance evaluations.
Provide telephone and in person screening and initial contact with referral sources and potential patients.
Coordinates the intake and referral process, determines priority needs for assessment
Provides coordination of testing to be performed with physician, patient, facility and payer. This includes reviewing medical documents for clarity, ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval
Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing.
Refers self-pay and out-of-network patients to the appropriate resource to help with payment.
Complete pre-certification/authorization with the patient’s insurance company providing any necessary documentation.
Document authorization/pre-certification once received along with contact information of the person spoken with.
Contacts the patients and notifies them of the scheduled procedure and all necessary instructions.
Actively monitor the attendance of and follow-up of referred appointments
Monitor statistics and volume of patients testing and physician appointments
May assist manager with other responsibilities as assigned