Referral Specialist ENT Office

Trinity Health

1d•Onsite

About The Position

The Referral Specialist is responsible for obtaining insurance authorization from a patient's insurance company via phone, fax, or online. This role coordinates patient referrals to specialists as requested by providers, enters and maintains accurate data in the referral database, and verifies all pertinent documentation. The specialist assembles patient information, provides clinical details to specialists according to referral guidelines, and communicates appointment information to patients. This position requires adaptability, adherence to corporate communications, punctuality, willingness to assist colleagues, and understanding of departmental policies. The Referral Specialist must exemplify a strong adherence to the professional code of conduct, maintain a positive attitude, and demonstrate supportive behavior towards patients and staff. They must follow HIPAA and OSHA regulations, abide by the employee handbook, and perform duties as part of the practice care team, participating in team huddles and quality improvement initiatives to align with office policies and patient-centered medical home standards.

Requirements

High School diploma or equivalent.
Knowledge of practice management computer systems (maybe name system i.e. EPIC)
Demonstrated ability to work independently and as a team.
Knowledge of general office machines and telephone system.
Familiarity with identification of medical documents.
Ability to work well under pressure and within tight deadlines.
Ability to multitask and adapt to shifting priorities.
Maintain high degree of discretion when dealing with confidential information.
Detail oriented.

Nice To Haves

Experience in an office environment and/or health care setting helpful.

Responsibilities

Obtain insurance authorization from patient’s insurance company via phone, fax, or online.
Coordinate patient referrals to specialists as requested by providers.
Enter and maintain accurate, comprehensive data entry of all referrals into database.
Verify all pertinent documentation has been provided for the type of referral requested.
Assemble information concerning patient's clinical background and referral needs.
Provide appropriate clinical information to specialist per referral guidelines.
Call patient with appointment information.
Document all stages of the referral in the appropriate data base or in writing.
Demonstrate adaptability and accept change in a positive manner.
Keep current with corporate communications such as email and internal network.
Present and ready for work in designated area at assigned time and dressed in appropriate work attire.
Readily assist other staff members upon completion of assigned duties.
Understand and adhere to all departmental policies and procedures.
Complete and maintain all required training relative to job function.
Exemplify a strong adherence to the professional code of conduct.
Maintain a professional and positive attitude and demonstrate a supportive and understanding behavior when in contact with patients, providers, employees, and patients.
Follow all policies and procedures mandated by St. Joseph’s Physicians and the Government regarding HIPAA and OSHA.
Abide by the policies and procedures set forth in the St. Joseph’s Physicians employee handbook.
Perform duties and assist providers as part of the practice care team.
Take part in daily team huddles and/or other periodic team meetings to facilitate communications and enhance positive patient experiences and quality delivery of care.
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.