Referral Specialist, Pulaski
About The Position
The Referral Specialist is responsible for securing required insurance authorization prior to patient appointments, scheduling specialist referrals, and notifying patients. This role involves providing specialists with necessary documentation, following up on outstanding referrals and diagnostic procedures, and communicating with patients via phone or patient portal for appointment reminders and test orders. The specialist will also monitor for laboratory and diagnostic service results, communicate with Outpatient Radiology centers for reports, and promptly inform providers of any critical results. Additionally, the position requires participation in Patient Centered Medical Home initiatives as part of the Clinical Care Team and performing other duties as assigned by supervisors.
Requirements
- High school graduate or GED
- Experience in ambulatory care preferred
- Verbal and written communication skills
- Medical office applications preferred
- Demonstrate proper judgment and decision making skills
- Comply with the organizations code of conduct, safety rules and adheres to all company policies
- Carry out job responsibilities in an ethical, effective and professional manner
- Must demonstrate computer proficiency with electronic medical record system
- Must possess a willingness to accept direction from providers and supervisors
- Must possess the ability to work well and with compassion in stressful situations
- Must maintain a professional and courteous demeanor with both patients and co-workers
- Must be keenly aware of the importance of confidentiality in all aspects of the position
Responsibilities
- Secure required insurance authorization prior to the patients scheduled appointment
- Make appointments for specialist referrals and provide notification to patient
- Provide specialist with appropriate documentation to support the referral request
- Review and follow up on all outstanding/open referral and High Tech diagnostic procedures that go through referral department to ensure completion
- Communicate with patients to remind them of services via telephone or patient portal
- Mail reminder orders for tests due if not completed within 30 days.
- Monitor images for laboratory and diagnostic services for test results and close the open order when results are received.
- Communicate with Outpatient Radiology centers if results have not been received to obtain reports.
- Insure to communicate any report labeled with critical results to provider through a warm handoff
- Engage in Patient Centered Medical Home initiatives, including participating as part of the Clinical Care Team
- Other duties and responsibilities as may be requested by supervisor and/or management
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What This Job Offers
Career Level
Entry Level
Education Level
High school or GED
