The Referral Specialist will deliver care to patients utilizing the Referral Specialist Process. This role will initiate and manage all components of clinical referrals for various services. They will set up appointments and any special arrangements such as transportation, interpreter services, etc. The Referral Specialist will verify insurance coverage and obtain authorizations, if needed, from insurance providers. They will act as a liaison between hospitals, physicians, health plans, vendors and patients or referral sources. This role coordinates the flow of information between the medical clinic and the referral authorization department to secure a valid referral for clinic patients. The Referral Specialist will develop and maintain a database of referral physician offices preferred by each physician within the clinic. They will also assist the Practice Manager with complaint resolution and solutions related to patient referrals. Additionally, the Referral Specialist will enter referrals, documents, communications, and actions in the system.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees