Referral Specialist

Open Door Health Services • Muncie, IN

7d • Hybrid

About The Position

Open Door Health Services is seeking a full-time Referral Specialist at our main location office in downtown Muncie, Indiana. As a Referral Specialist, you will uphold our Mission, Vision, and Values. In this position, you will be responsible for arranging referrals for patients to providers outside of ODHS and obtaining Medicaid Prior Authorizations as needed for patient referrals to providers outside of ODHS. You will also track all referrals for completion and work closely with all staff members to ensure that the flow and accuracy of information meet their needs and contribute to organizational objectives. As a Federally Qualified Health Center, Open Door Health Services provides comprehensive primary, urgent, preventive, and select specialty services and social support programs for individuals and families, regardless of their ability to pay. Our patients represent diverse backgrounds, life experiences, capacities, and orientations.

Requirements

• High School diploma or GED equivalence.

Nice To Haves

• Good communication skills and ability to work closely with others and in teams.
• Able to work unsupervised.
• Able to maintain patient confidentiality.
• Able to help patients and staff in a friendly and efficient manner.
• Good planning and organization skills.
• Good problem-solving skills.
• Can work under pressure and meet deadlines.
• Prefer experience in a health care setting.

Responsibilities

• Complies with all agency policies and procedures concerning corporate compliance including privacy of protected health information.
• At the request of clinic provider, makes appointments for patients with other providers/agencies as designated.
• Follows up with the patient and completes the appropriate paperwork/data entry.
• Initiates insurance Prior Authorization needed for approval for referrals at the request of a clinic provider.
• Follows up with the patient and completes the appropriate paperwork/data entry.
• Track all referrals for completion, including obtaining any reports generated pertaining to the referral.
• Able to work with a high degree of precision paying attention to detail to achieve the high level of accuracy required.
• Process home health orders by sending them to providers to sign then send back to agency.
• Handle DME orders & paperwork.

Benefits

• An excellent benefit package covering your medical, dental, and vision needs
• Competitive pay
• Supportive team environment
• PTO and vacation time
• Opportunities for learning and career growth

What This Job Offers

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