Referral Specialist (Full-time, Days)

Rochester Regional Health

4d • $19 - $24 • Onsite

About The Position

The Referral Specialist is responsible for scheduling diagnostic testing and specialty referrals, obtaining insurance authorizations/pre-certifications, and coordinating with patients, physicians, facilities, and insurance companies. This role provides excellent customer service and ensures accurate documentation in the EMR.

Requirements

• High school diploma or GED.
• Proficiency with Microsoft Word, Excel, and computer systems.
• Strong organizational, communication, and customer service skills.
• Ability to multitask and work effectively in a fast-paced environment.
• Strong attention to detail and ability to maintain accurate records.

Nice To Haves

• Associate degree in a related field.
• Medical terminology experience.
• Orthopedic terminology highly preferred.
• Experience with medical scheduling, insurance authorization, referrals, or EMR systems.

Responsibilities

• Schedule MRI, CT, Neurology, Pain Management, and other specialized testing and referrals.
• Obtain insurance authorizations and pre-certifications and submit required documentation.
• Verify procedure and diagnosis codes needed for authorization.
• Coordinate appointments, facility arrival times, and patient instructions.
• Communicate with patients, providers, facilities, and insurance companies.
• Document authorizations, communications, and scheduling information accurately in the EMR.
• Assist self-pay and out-of-network patients with appropriate resources.
• Support scheduling policies, procedures, and efficient practice operations.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED