Referral Specialist, Medical Oncology

Rochester Regional Health
$19 - $24Onsite

About The Position

This position is responsible for scheduling and obtaining authorization/pre-certifications for, but not limited to MRI, CT, Neurology, Pain Management and other specialized testing as well as referrals to other MD Specialists and for detailing all patient and third-party interaction in the patient’s EMR. Promotes and provides customer satisfaction and appropriateness of care for all assigned patients.

Requirements

  • High school diploma or GED certificate required, AAS in related field most helpful.
  • Proficiency with computer software applications including Excel and Word.
  • Ability to maneuver through computer programs and general comfort with technology.
  • Medical terminology preferred.
  • Orthopedic terminology highly preferred.
  • Ability to multitask and work in a fast-paced environment.
  • Must have excellent work habits, including a willingness to work the necessary hours to get the job done.

Nice To Haves

  • AAS in related field most helpful.

Responsibilities

  • Greets all patients, whether in person or via the telephone, with a cheerful and helpful attitude.
  • 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 patient and notifies them of the scheduled procedure and all necessary instructions.
  • Coordinates with the hospital or facility the arrival times of each scheduled patient and contacts them with this information.
  • Assists in reviewing and revising policies and procedures pertaining to scheduling function.
  • Performs other responsibilities as necessary to ensure efficiency within the practice.
  • Maintains operational knowledge of department equipment: telephones, computers, faxes, copier, printers, etc.
  • Provides age and culturally appropriate assessment, interpretation of clinical and laboratory data and develops and implements age-appropriate interventions and plans of care including education within the parameters of his/her position responsibilities and licensure.
  • Ensure staff considers age related concerns such as hearing, vision, speech and level of understanding, when interacting with patients, employees and families.

Benefits

  • Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It’s vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.
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