Referral Specialist

Rochester Regional Health•Thousand Oaks, CA

3d•$19 - $24•Onsite

About The Position

The Referral Specialist schedules specialized testing and referrals, including MRI, CT, Neurology, Pain Management, and other services, and obtains required authorizations or pre-certifications. The role coordinates care among physicians, patients, facilities, and payers; documents patient and third-party interactions in the patient’s electronic medical record (EMR); and promotes customer satisfaction and appropriate care. The position is in the UH Radiology department at the Imaging Center – Linden Oaks in Rochester, New York. It is scheduled for 40 hours per week, Monday through Friday, 8:00 a.m. to 4:30 p.m. The role provides age- and culturally appropriate interactions and care-related support within the scope of its responsibilities and licensure, including attention to patients’ hearing, vision, speech, and level of understanding. The work is classified as sedentary and primarily office-based, involving prolonged sitting, minimal physical effort, and lifting under 10 pounds.

Requirements

High school diploma or GED certificate.
Ability to perform sedentary office work involving prolonged sitting and lifting under 10 pounds.
Fine motor skills for computer work, writing, and telephone use, with clear visual and auditory ability.
Ability to sustain concentration, manage frequent interruptions, make independent decisions, and process information.

Nice To Haves

Associate of Applied Science (AAS) in a related field is helpful.

Responsibilities

Greet patients in person or by telephone with a cheerful and helpful attitude.
Coordinate testing among physicians, patients, facilities, and payers; review medical documents for clarity, ensure necessary clinical steps have been taken, and work with relevant parties to obtain third-party approval.
Obtain procedure and diagnosis codes needed to authorize or pre-certify ordered testing.
Refer self-pay and out-of-network patients to appropriate payment resources.
Complete pre-certification or authorization with patients’ insurance companies and provide required documentation.
Document authorizations or pre-certifications when received, including contact information for the person spoken with.
Contact patients to notify them of scheduled procedures and provide necessary instructions.
Coordinate patient arrival times with the hospital or facility and communicate those times to patients.
Assist in reviewing and revising policies and procedures related to scheduling.
Perform other responsibilities as needed to ensure practice efficiency.
Maintain operational knowledge of department equipment, including telephones, computers, fax machines, copiers, and printers.
Provide age- and culturally appropriate assessment, interpretation of clinical and laboratory data, and age-appropriate interventions, care plans, and education within the scope of the position.
Consider age-related concerns such as hearing, vision, speech, and level of understanding when interacting with patients, employees, and families.