Referrals Specialist
About The Position
Responsible for timely processing, documenting, and follow-up of faxes received in referrals folders. Receives and processes e-faxes in a timely manner with attention to quality, accuracy, and completeness of work. Plans in advance to ensure tasks are complete. Screens e-faxes received, uploads documents to EHR, tasks referring provider, updates initial referral, follow up if needed, and proceeds to forward a copy of the document to HIS. Responds to inquiries regarding current status of faxes by assessing the request and evaluating the circumstances to provide regular, consistent, and timely information as needed. Demonstrates professionalism both verbally and non-verbally. Listens to customers (internal and external) and addresses needs and is accountable and responsive to customer concerns. Seeks different points of view and leverages diverse perspectives. Meets established or agreed upon deadlines. Arrives on time and prepared for work. Uses sound judgement and assumes responsibility and accountability for decisions, actions, and performance. Works on closing the referrals loop; review the referral log weekly to determine which patients have kept their specialty or consultation appointments. Updates the referral with date and time of the appointment. Documents if patient kept their appointment, reach out to specialist or facility to request visit notes or results to be e-faxed to the Referrals Department’s main fax number within 5 working days of visit as needed.
Requirements
- High School Diploma/GED, or a minimum of 3 years of relevant experience in lieu of diploma.
- Valid CA driver’s license and access to an insured vehicle.
- A minimum of 6 months’ experience in a healthcare setting to include both front and back office and/or referral authorization experience.
- Knowledge of programs, health plan eligibility and guidelines, coding, and data processing are helpful.
- Basic medical terminology and computer skills.
- Typing of 35 wpm.
- Ability to multi-task.
- Attentiveness to patient needs and concerns.
- Willingness to work together with others as a team.
- Bilingual (Spanish/English). Good verbal and written communication skills in both languages.
- Pre-employment requirements include I-9, physical, positive background and reference check results, complete application, new hire orientation, pre-employment PPDs.
Nice To Haves
- Knowledge of programs, health plan eligibility and guidelines, coding, and data processing.
Responsibilities
- Timely processing, documenting, and follow-up of faxes received in referrals folders.
- Receiving and processing e-faxes with attention to quality, accuracy, and completeness.
- Screening e-faxes, uploading documents to EHR, tasking referring provider, updating initial referral, and forwarding documents to HIS.
- Responding to inquiries regarding the status of faxes.
- Demonstrating professionalism, accountability, and responsiveness to customer concerns.
- Seeking different points of view and leveraging diverse perspectives.
- Meeting established deadlines and arriving on time and prepared for work.
- Using sound judgment and assuming responsibility for decisions and actions.
- Closing the referrals loop by reviewing the referral log weekly to determine if patients have kept appointments.
- Updating referrals with appointment dates and times.
- Documenting appointment status and requesting visit notes or results from specialists or facilities.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
