Referral Specialist

Blount Rural Health Center•Elkton, KY

2d•Onsite

About The Position

At Blount Rural Health Center, our goal is to provide the highest quality of care to our patients. The Referral Specialist plays a crucial role in providing timely and efficient out of clinic consults to our patients. This role must collaborate effectively with all other members of the medical team. The Referral Specialist must also communicate effectively with other medical facilities and insurance entities and is expected to represent Blount Rural Health Center with utmost professionalism. This job description entails the responsibilities of the Referral Specialist; however, this is not an all-inclusive list as the position requires flexibility and acceptance of other tasks as assigned.

Requirements

Strong Organization Skills, including the ability to prioritize tasks
Ability to creatively solve problems and access information from a variety of sources
Ability to interact comfortably with people at various levels
Knowledge of ICD 10 and CPT Codes
Required to sit, stand, walk, bend, twist frequently throughout the day.
May be required to lift up to 40 pounds, as needed.

Responsibilities

Referral coordination for out of clinic consults (OCC)
Collect proper supporting data for each referral before sending to Specialist
Schedule appointments for Specialty services as requested by primary care provider
Respond to inquiries as to status of referral by assessing the request and evaluating the circumstances to provide the correct information
Complete prior authorizations with insurance companies and other entities via phone, in writing or electronically
Inform patient of appointment date, time and required documents needed prior to appointment
Provide patient instruction prior to appointment and stress importance of keeping their scheduled specialist appointment(s)
Document in patient record all information related to prior authorizations, appointment scheduling and patient instructions
Log referrals and appointments
Review logs weekly for monitoring of reports/results of referrals, follow up, no shows
Keep Medical Records request logbook updated and reconciled
Electronic Documentation for related payment reimbursement
Assist with accepting and making phone calls and patient messages
Other duties as needed