Referral

Brown Medicine•East Providence, RI

2d•$19 - $31•Onsite

About The Position

The Referral Specialist reports to the Practice Manager and, under general supervision, coordinates patient flow for appointments with specialists and for testing requested by physicians. The role obtains required insurance authorization before scheduling, contacts patients with appointment information and instructions, and forwards required information to specialist offices according to practice protocols. The specialist tracks patients through the provider-care cycle using LifeChart referral work queues to support continuity of services. Employees are expected to model Brown University Health’s values of Compassion, Accountability, Respect, and Excellence and demonstrate its core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate. The role requires knowledge of front-office operations and clinical knowledge to triage referrals and determine when a patient needs to be seen.

Requirements

High school degree or equivalent.
Billing and medical knowledge.
Two years of clinical referral experience.
Data-entry skills and computer experience.
Strong customer-service focus.
Effective verbal and written communication skills.
Organized and able to manage competing priorities.
Able to take and follow through on delegated tasks and demonstrate accountability.
Knowledge and skills necessary to provide care to patients throughout the life span, considering aging processes, human development stages, and cultural patterns.
Knowledge of front-office operations and clinical knowledge for triaging referrals and determining when a patient needs to be seen.

Nice To Haves

Patient Centered Medical Home Practice (PCMH) referral experience.

Responsibilities

Schedule, coordinate, and triage referrals created by and sent to the practice through LifeChart work queues.
Set follow-up alarms and use tracking functions according to practice protocols to follow up on outstanding referrals.
Obtain un-resulted consults and testing orders managed by the referral office.
Alert the ordering provider when a patient misses an appointment with a specialist or testing facility.
Scan correspondence into the medical record, label it correctly, and forward it to the appropriate ordering provider for review.
Take messages from the referral line or fax machine, create a referral in LifeChart, and forward information to the PCP for approval before sending referrals, in accordance with practice policy.
Contact patients with appointment information and any specific instructions required before their appointments.
Maintain current knowledge of insurer referral authorization requirements and demonstrate cultural awareness and sensitivity to the patient population.
Serve as a resource to practice team members regarding referral issues.
Participate in practice performance and quality improvement activities.
Attend required meetings and trainings as directed.
Perform other related duties appropriate to training and experience as assigned by the physician practice manager.