Referral Specialist - Community Clinic Days - 40hrs/wk.

umhealthwest • Wyoming, MI

14d

About The Position

Under the direction of management, the Referral Specialist coordinates internal and external referrals ordered by providers. The role involves completing referrals, scheduling appointments, acquiring and verifying third-party information for authorizations, and tracking referrals. The Referral Specialist works closely with physicians and other members of the care team.

Requirements

• High school education or equivalent.
• One year of experience in a medical office and/or prior experience coordinating referrals.
• Knowledge of medical terminology.
• Ability to work independently and collaboratively with minimal supervision.
• Knowledge of medical record content and sequence.
• Training or experience in medical coding and managed care insurance plans.
• Knowledge of the appointment-scheduling process.
• High level of interpersonal skills.
• Effective verbal and written communication skills.
• Ability to prioritize, maintain accurate records, and work under deadlines.
• Excellent customer service skills.

Responsibilities

• Schedules and coordinates specialist appointments, procedures, and tests performed internally or externally.
• Monitors EMR orders to ensure providers enter information correctly.
• Validates insurance coverage and processes insurance authorizations.
• Assembles information concerning patients’ clinical backgrounds and referral needs.
• Enters and tracks referral requests in the EMR or other required information system.
• Responds to and documents requests from providers and patients in a timely manner.
• Participates in process-improvement activities to enhance the referral process and workflow.
• Performs other duties as assigned, which may include maintaining current knowledge of department processes, protocols, and procedures for patient care; pursuing self-directed learning and continuing education; and participating on committees, task forces, and work groups as determined by management.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED