Referrals Specialist

Hawai'i Island Community Health Center•Kailua, HI

4d•$20

About The Position

As a Referrals Specialist, you will play a crucial role in managing external patient referrals and follow-up in collaboration with the provider and other members of the patient care team. Under the general direction of the Health Services Manager and Referrals Supervisor, you will maintain electronic patient files, respond to and fulfill requests for medical records, and assist in the collection of data. Additionally, you will coordinate travel for patients to and from appointments.

Requirements

High School graduate or GED certificate
One year of related clinical office experience and/or training; OR any equivalent combination of experience, training, and/or education

Nice To Haves

Familiarity with QUEST and other insurance programs
Familiarity with Hawaiʻi Health Care Networks
Knowledge of ICD-10 and CPT coding

Responsibilities

Prioritize patient referrals to manage patient flow for maximum efficiency and optimum care provision
Utilize medical records appropriately to document care within the scope of job duties
Coordinate referrals, preauthorization, and follow-up with appropriate external resources
Develop and maintain tracking systems for referrals to outside resources
Actively participate in quality improvement and risk management programs
Participate as an active team member on the patient care team
Engage in continuing education activities
Demonstrate competency in managed care preauthorization for travel
Document appropriately in the patient medical record
Facilitate quality specialty medical, diagnostic, and therapeutic services via appropriate referral and tracking for follow-up
Maintain positive interpersonal relations with physicians, patients, patient families, visitors, and co-workers in a professional and confidential manner
Embrace the philosophy of continuous quality improvement
Maintain a safe, clean, and confidential working environment consistent with OSHA, HIPAA, and HHC standards
Communicate accurate and pertinent information with patient care providers and other members of the care delivery team to facilitate effective and efficient patient referrals and tracking
Apply age-specific/cultural considerations to the referral process
Manage changes in work demand during the workday
Ensure patient/family satisfaction with referral services
Keep supervisor informed of problems or issues; monitor supplies needed; perform other duties as assigned