Parkside Pediatrics - Referrals Specialist

Parkside Medical Group | The Onyx Group•Greer, SC

About The Position

The Referral Specialist coordinates patient care between external providers and organizations, including physician offices, community service agencies, and hospital or emergency facilities. The role provides referrals and transitions of care and ensures that providers, facilities, and patients have the information and resources needed to coordinate care. The specialist reviews clinical data to report medical necessity to insurance companies and establishes relationships and agreements among providers to support shared expectations for communication and care. The role also supports Referrals team members with shared tasks on a daily and weekly basis.

Requirements

  • High school diploma or equivalent.
  • Proficient computer and typing skills.
  • Proficiency in Microsoft Office and electronic medical record systems.
  • At least 1 year of experience working in a medical office.
  • Working knowledge of medical terminology and the ability to interpret physician progress notes and medical records.
  • Exceptional communication skills with internal and external customers.
  • Ability to sit at a computer terminal for long periods.
  • Ability to be physically present at the workstation at the designated company office during normal business hours for the position.
  • Ability to travel up to 10% of the time.
  • Ability to lift up to 20 lbs.

Responsibilities

  • Send outgoing referrals and diagnostic imaging orders to specialist offices and receive communications about order processing.
  • Ensure patients are scheduled promptly in a manner consistent with their diagnosis and level of care, and communicate appointment information to the patient, family, or caregiver.
  • Follow up with specialist offices on pending referrals to obtain consultation notes and medical records and coordinate continued care with the provider as needed.
  • Promote excellent relationships between the practice and outside specialty offices.
  • Serve patients, families, caregivers, external specialty offices, the community, and internal team members with grace and humility.
  • Promote an authentic and transparent work environment.
  • Perform other tasks as assigned.
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