A Referral Specialist is responsible for the professional and efficient management of the outpatient referral request process across all hospital outpatient clinics and departments. This role involves a variety of functions related to patient referrals, including but not limited to verifying insurance coverage, obtaining authorizations, processing referrals—both internal and external—and managing patient demographics, insurance information, and related records with outside facilities and providers. The Referral Specialist tracks referral progress and ensures completion in a timely manner.
Additionally, the role demonstrates a foundational understanding of the Revenue Cycle and Power Chart systems to support seamless referral operations.
What You'll Do:
- Monitor and process incoming ambulatory referrals promptly and efficiently.
- Answer multi-line telephones, take clear, detailed, and legible messages, and transfer calls to the appropriate department as needed.
- Respond to inquiries regarding patient referrals, directing clinical questions to the appropriate provider or clinical staff.
- Collaborate with providers and clinical staff to resolve any obstacles encountered during the referral process.
Who You Are:
- Excellent Communication
- Knowledge of Healthcare Resources and Services
- Problem-Solving and Critical Thinking skills.
Qualifications:
- High school diploma or equivalent required, Associates degree preferred.
- One year of experience in Healthcare Coordination, Patient Services, or related field preferred.
- Computer skills required: Competent with Microsoft Office and Outlook.
- Good telephone etiquette.
Job Information:
- Full-time, day shifts including Saturdays.
- Starting wage $22.00 to $26.67
The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. An equal opportunity employer.
Skills Required
- High school diploma or equivalent required
- Associates degree preferred
- One year of experience in Healthcare Coordination or related field preferred
- Computer skills: Competent with Microsoft Office and Outlook
- Good telephone etiquette
What We Do
Mammoth Hospital is a modern, 17-bed Critical Access Hospital and a primary acute-care provider, offering a range of medical services including general surgery and anesthesiology.
