Referral Specialist Orthopedics & Spine

Trinity Health • City of Syracuse, NY

83d • $19 - $27

About The Position

The position involves obtaining insurance authorization from patients' insurance companies, coordinating patient referrals to specialists, and maintaining accurate data entry of all referrals into the database. The role requires assembling information concerning patients' clinical backgrounds and referral needs, providing appropriate clinical information to specialists, and documenting all stages of the referral process. The candidate must demonstrate adaptability, maintain a professional demeanor, and adhere to departmental policies and procedures, including HIPAA and OSHA regulations. Participation in quality improvement initiatives and team meetings is also expected.

Requirements

• High School diploma or equivalent.
• Experience in an office environment and/or health care setting helpful.
• Knowledge of practice management computer systems.
• Demonstrated ability to work independently and as a team.
• Knowledge of general office machines and telephone systems.
• Familiarity with identification of medical documents.
• Ability to work well under pressure and within tight deadlines.
• Ability to multitask and adapt to shifting priorities.
• Maintain a high degree of discretion when dealing with confidential information.
• Detail oriented.

Responsibilities

• Obtain insurance authorization from patient’s insurance company.
• Coordinate patient referrals to specialists as requested by providers.
• Enter and maintain accurate, comprehensive data entry of all referrals into the database.
• Verify all pertinent documentation has been provided for the type of referral requested.
• Assemble information concerning patient's clinical background and referral needs.
• Provide appropriate clinical information to specialists per referral guidelines.
• Call patients with appointment information.
• Document all stages of the referral in the appropriate database or in writing.
• Demonstrate adaptability and accept change in a positive manner.
• Keep current with corporate communications such as email and internal networks.
• Present and ready for work in designated area at assigned time and dressed in appropriate work attire.
• Assist other staff members upon completion of assigned duties.
• Understand and adhere to all departmental policies and procedures.
• Complete and maintain all required training relative to job function.
• Exemplify a strong adherence to the professional code of conduct.
• Maintain a professional and positive attitude when in contact with patients, providers, and employees.
• Follow all policies and procedures mandated by St. Joseph’s Physicians and the Government regarding HIPAA and OSHA.
• Abide by the policies and procedures set forth in the St. Joseph’s Physicians employee handbook.
• Perform duties and assist providers as part of the practice care team.
• Participate in quality improvement initiatives as part of the practice care team.
• Ensure job functions align with office policies and procedures and patient-centered medical home standards.
• Perform other duties and responsibilities as required or requested.

Benefits

• Equal Opportunity Employer
• Compassionate, person-centered care environment

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees