Referral Specialist

• Mission Statement:

  ·We, St Joseph’s Health and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

  Vision:

  ·To be world-renowned for passionate patient care and outstanding clinical outcomes.

  Core Values:

  ·In the spirit of good Stewardship, we heal by practicing Justice in fostering right relationships to promote common good, Reverence in honoring the dignity of every person, Excellence in expecting the best of ourselves and others; Integrity in being faithful to who we say we are.

  ESSENTIAL DUTIES AND RESPONSIBILITIES:

  Obtain insurance authorization from patient’s insurance company.  This may be done by phone, fax, or online depending on insurance company’s process. Coordinate patient referrals to specialist 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.  Per referral guidelines, provide appropriate clinical information to specialist.Call patient with appointment information. Document all stages of the referral in the appropriate data base or in writingDemonstrate adaptability and accept change in a positive manner.Responsible to keep current with corporate communications such as email and internal network such as the Pulse, SJEN, etc.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.Responsible for completing 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.
   Insure job functions align with office policies and procedures and patient-centered medical home standards.Perform other duties and responsibilities as required or requested

  KNOWLEDGE, SKILLS AND ABILITIES

  Knowledge of practice management computer systems (maybe name system i.e. EPIC)Demonstrated ability to work independently and as a teamKnowledge of general office machines and telephone systemFamiliarity with identification of medical documentsAbility to work well under pressure and within tight deadlinesAbility to multitask and adapt to shifting prioritiesMaintain high degree of discretion when dealing with confidential informationDetail oriented

  EDUCATION AND EXPERIENCE

  High School diploma or equivalent. Experience in an office environment and/or health care setting helpful.

  PHYSICAL DEMANDS

  Sedentary work- majority of time sittingRepetitive motion of hands, fingers, and wrists

  WORK ENVIRONMENT AND HAZARDS

  Category II – Normal routine involves no exposure to blood, body fluid or tissue, but exposure or potential for exposure may occur.Additional Job Description

  Additional Job Description

  Pay Range: $19.50-$27.85 dependent on experience and location

  Job Description Purpose

  Job Description Purpose

  AttachmentsBusiness Process History

• Job Description Purpose

  Job Description Purpose

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.