Referral Specialist Practice Based

AdventHealth•Bloomingdale, FL

2d•Onsite

About The Position

The Referral Specialist communicates with coworkers, patients, and physicians and supports a positive image of the Medical Center through teamwork and professional service. The role keeps referral orders up to date, incorporates patient, physician, and customer needs into decisions, and maintains referral integrity by processing orders and communicating with patients and providers. The position answers calls promptly, assists patients with questions, schedules procedures as needed, and frequently checks voicemail and faxes. It sorts authorizations and denials and confirms that orders meet insurance requirements. The specialist collaborates across department boundaries and performs other duties as assigned.

Requirements

High school diploma or equivalent.
Administrative or clerical experience.
Ability to read, write, type legibly, speak, and comprehend English effectively.
Knowledge of electronic medical records, patient database systems, medical terminology, and telephone protocol.
Intermediate to advanced knowledge of Microsoft Office, including Word, Excel, PowerPoint, and Outlook, and internet software.
Ability to think critically regarding the admission process.
Effective oral and written communication skills, including the ability to make professional presentations and write correspondence and documentation.
Ability to manage difficult or emotional customer situations and provide superior customer service.
Ability to work respectfully and without judgment with culturally diverse groups of all genders.
Ability to interpret government regulations related to hospice care, business periodicals, professional journals, and technical procedures.
Ability to maintain strict confidentiality of organizational, employee, patient, family, and caregiver information.
Ability to operate standard office machines, including fax, copier, calculator, and mail machines.
Physician office billing, registration, or scheduling experience.
General ability to navigate web-based applications.
Knowledge of ICD-9/10 and CPT-4.

Nice To Haves

At least 1 year of ICD-9 and CPT-4 coding experience.
Healthcare, call center, or related experience.

Responsibilities

Communicate clearly and concisely with coworkers, patients, and physicians.
Maintain a favorable image of the Medical Center and cooperate in a team atmosphere.
Stay current on referral orders to support the standard of care.
Incorporate patient, physician, and customer needs into decision-making and organizational actions.
Answer phone calls promptly, assist patients with questions, and schedule procedures as needed.
Maintain referral integrity, process orders, and communicate with patients and providers.
Check voicemail and faxes frequently, sort authorizations and denials, and ensure orders meet insurance requirements.
Collaborate positively with team members and across department boundaries.
Perform other duties as assigned.