Referral Specialist

AltaPointe Health•Mobile, AL

About The Position

The Referral Specialist serves all of the clinical staff and must navigate and negotiate successful tracking and coordination of referrals; it requires highly technical clerical tasks, specific to an area of work. The work includes responsibility for the preparation of specialized departmental documents; significant interpersonal staff and public contact, appropriate and professional conduct, independent judgment, discretion, and personal initiative; and use of Electronic Health Record (EHR) systems.

Requirements

High School graduate or the equivalent.
Proficiency in Excel
Ability to problem solve and carry out task independently
Proficient with computer applications including Microsoft Office Suite, EMR and medical billing software
Knowledge of HIPAA

Nice To Haves

Preferred experience in medical practices to include outpatient best practices, FQHC, coding and billing

Responsibilities

Develop and maintains effective relationships with outside medical offices for patients needing specialty care.
Serves as liaison to medical offices, hospitals
Ensure successful tracking and monitoring of referrals placed: follows up with patients and outside providers to ensure referral completed in EHR
Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
Prioritize Urgent referrals and follow entire process through to confirmed scheduled appointment
Communicate and coordinate referral requests with outside specialists
Re-refer/re-schedule patients if they do not make their original referred appointment
Request authorizations from patient’s insurance companies required by specialists
Request authorization extensions or adjustments as requested by specialists
Provide contact information to patients asking for specific details about their appointments
Answer, respond and document phone calls, requests, and questions from patients in a timely manner
Routinely make notification phone calls to patients throughout the referral process
Document every step of the patients’ referral process in EHR system
Close the final loop in referral tracking and document patient completion in EHR
Communicate information via computer, phone, fax, and in writing to appropriate resources
Respond to In-house provider questions, requests, and concerns regarding the status of patient referrals, care coordination or follow-up status
Knowledgeable of sliding fee scale for qualifying patients and can counsel and educate patients
Assist with coverage of front desk as needed to handle patient needs
Assist with coding and review of records for billing purposes
Comply with Health Center’s policies and procedures
Demonstrate professionalism, patience, and a high level of interpersonal and communication skills with patients, staff, visitors, and outside organizations
Seek supervision and consultation as needed.
Accept and employ suggestions for improvement.
Actively work to enhance skills.
Documents in a timely fashion per policy.
Documents in a clear, legible, and concise manner.
Courteous and respectful towards consumers, visitors, and co-workers
Treats consumers with care, dignity and respect.
Respect patient privacy and confidentiality.
Pleasant and cooperative with others.
Promote a professional work atmosphere
Actively participate in AltaPointe committees as required.
Accurately complete assigned tasks in a timely manner.
Follows AltaPointe policies and procedures.