Referral Specialist Cancer Care

Trinity Health

4d•$20 - $28

About The Position

The Referral Specialist coordinates patient referrals to specialists as requested by providers and obtains insurance authorization by phone, fax, or online. The role gathers and verifies referral documentation, compiles relevant clinical background, shares appropriate clinical information with specialists, contacts patients with appointment information, and documents each stage of the referral. The specialist contributes to the practice care team by assisting providers, participating in daily huddles and other team meetings, and taking part in quality improvement initiatives. The position requires adherence to departmental and office procedures, patient-centered medical home standards, HIPAA and OSHA requirements, and professional conduct expectations. The employee must maintain required training, stay current with corporate communications, and assist colleagues as needed.

Requirements

High school diploma or equivalent.
Knowledge of practice management computer systems.
Ability to work independently and as part of a team.
Knowledge of general office machines and telephone systems.
Familiarity with identifying medical documents.
Ability to work under pressure and meet tight deadlines.
Ability to multitask and adapt to shifting priorities.
Ability to maintain discretion when handling confidential information.
Detail-oriented.

Nice To Haves

Experience in an office environment and/or healthcare setting.

Responsibilities

Obtain insurance authorization from patients’ insurance companies by phone, fax, or online.
Coordinate referrals to specialists as requested by providers.
Enter and maintain accurate, comprehensive referral data in the database.
Verify that all documentation required for each referral is provided.
Assemble information about patients’ clinical backgrounds and referral needs.
Provide specialists with appropriate clinical information according to referral guidelines.
Contact patients with appointment information.
Document all stages of referrals in the appropriate database or in writing.
Stay current with corporate communications, including email and internal networks.
Assist other staff members after completing assigned duties.
Follow departmental, office, employee handbook, HIPAA, and OSHA policies and procedures.
Complete and maintain required training related to the job function.
Perform duties and assist providers as part of the practice care team.
Participate in daily team huddles and periodic team meetings.
Participate in quality improvement initiatives as part of the practice care team.
Ensure job functions align with office policies and procedures and patient-centered medical home standards.
Perform other duties and responsibilities as required or requested.