Referral Specialist

Description

Summary:

The Referral Specialist answers the referral telephone line, manages and processes orders in the referral inbox, schedules appointments with outside providers, and communicates with patients regarding scheduling referral appointments. These scheduled tasks are performed in a professional and courteous manner.

Supervisory Responsibilities:

• None

Major Duties & Responsibilities: Job Skills:

• Able to process orders and referrals for patients for services rendered outside of CHC in a timely manner.
• Requires the ability to organize and set priorities to accomplish goals.
• Requires interpersonal skills necessary to effectively interact and promote exceptional service to our patients, families, physicians, fellow employees, and volunteers by displaying attitudes and behaviors that reflect compassion, respect, and dignity to everyone we serve.
• Answers and triages telephone calls and callbacks.
• Exceptional phone courtesy skills, triaging phone calls, and callbacks
• Proficient in using basic office equipment (i.e., fax, scanners, and computer)
• Maintains a positive image and relationships with the referral healthcare community and agencies.
• Schedules the referral appointments and sends appropriate documentation.
• Manages the prior authorization process needed for referrals as dictated by payers.
• Must use Christ Health policies and procedures as a guide for processing orders and tracking.

Requirements

Qualification, Education, Experience:

• High school diploma or equivalent.
• EMR experience preferred.
• Assists with recognizing the needs and concerns of people within their cultural framework,
• and maintains constructive relationships in dealing with them .
• Maintains open communication with Office Manager, Medical Assistants, Registered Nurses,
• Mid-level providers, Physicians, and other staff.
• Self-motivated and flexible to daily patient schedule and/or clinic needs.
• Understands HIPAA requirements and obligations.
• Ability to use Microsoft Office for letter writing, as well as other normal office equipment.
• Ability to multi-task professionally in a fast-paced setting with maximum distractions.
• Attends and participates in in-service education for staff, quality assurance program, and risk-management programs.
• Each employee of Christ Health Center is vital to providing overall quality care to our patients and may be included in the patient care team and daily huddle when deemed necessary by the Core Care Team.
• Performs other duties as assigned.

Attendance Standards:

• Punctual and dependent for assigned/confirmed shifts.

Language Skills:

• Able to read and comprehend simple instructions, short correspondence, and memos.
• Able to write simple correspondence and reports.
• Ability to effectively present information in one-on-one and small group situations to patients, visitors, and other employees of the organization.

Mathematical Skills:

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Ability to compute rates ratios, and percentages.

Reasoning Ability:

• The ability to apply general rules to specific problems to produce answers that make sense.
• The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events) and to convey the information to others.

Physical/Mental Demands:

• Work requires the ability to lift objects weighing up to 20 pounds.
• Work requires the ability to carry objects weighing up to 20 pounds.
• Work requires ability to stand or sit +/- 90% of the time.
• Work requires the ability to stoop and bend, to reach, and grab with arms and hands, manual dexterity, and to communicate with others.
• Work requires proofreading and checking documents for accuracy.
• Work requires the ability to use a keyboard and visualize a computer monitor to enter and transform words or data.
• Work requires ability to multi-task as well as handle conflict resolution.

Environmental/Working Conditions:

• Normal office environment
• Full-time position

Cultural Expectations:

• Understands Christ Health Center Mission Statement and Values.
• Requires the ability to work in a multi-cultural setting.
• Consistently displays Christ Health Center’s Mission daily.