Referral Specialist

CommonSpirit Health•Omaha, NE
•Onsite

About The Position

Where You’ll Work From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. As our Referral Specialist, you will play a pivotal role in optimizing patient access to care by facilitating seamless coordination between clinical departments, providers, and patients. You will serve as a key administrative partner, ensuring that internal and external referrals are managed with precision to enhance the overall patient experience. By bridging the gap between referring clinicians and specialty care teams, you will help maintain continuity of care and ensure that essential documentation is accurately routed across our healthcare network. Every day you will manage complex referral work queues within the Electronic Medical Record (EMR) system, validating pre-authorizations and ensuring all orders meet clinical standards. You will act as a dedicated patient advocate, communicating with patients and representatives to gather necessary demographic information and coordinate appointment preferences. Your daily responsibilities will also include collaborating with revenue cycle and clinical staff, identifying potential access barriers, and tracking performance metrics to ensure efficient referral management and full regulatory compliance.

Requirements

  • At least one year of healthcare-related experience, specifically involving medical scheduling and EMR utilization.
  • Proficiency in Microsoft Office or Google Suite.
  • Foundational knowledge of medical terminology and HIPAA regulations.
  • Strong verbal and written communication skills.
  • Commitment to exceptional customer service.
  • High School Graduate /GED
  • Minimum of one year healthcare related experience, preferably in a position involving scheduling and EMR utilization, upon hire
  • Experience with Google Suite or Microsoft Office products

Responsibilities

  • Manage complex referral work queues within the Electronic Medical Record (EMR) system.
  • Validate pre-authorizations and ensure all orders meet clinical standards.
  • Act as a dedicated patient advocate, communicating with patients and representatives to gather necessary demographic information and coordinate appointment preferences.
  • Collaborate with revenue cycle and clinical staff.
  • Identify potential access barriers.
  • Track performance metrics to ensure efficient referral management and full regulatory compliance.
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