Referral Specialist

Referral Specialist

Communicates clearly and concisely with coworkers, patients, and physicians. Demonstrates and conveys a favorable image of the Medical Center and cooperates in a team atmosphere. Consistently works to stay up to date on referral orders to achieve the standard of care. Incorporates patient, physician, and customer needs into decision-making and organizational actions. Answers phone calls promptly, assists patients with questions, and schedules procedures as needed. Maintains referral integrity, processes all orders, and communicates with patients and providers. Checks voice mail and faxes frequently, sorts authorizations/denials, and ensures orders meet insurance requirements. Demonstrates a positive collaborative manner with team members and works well across department boundaries. Other duties as assigned.

Knowledge, Skills, and Abilities:

• Demonstrates ability to communicate by reading, writing and typing legibly, speaking and comprehending English effectively in order to carry out job requirements.
• Knowledge of electronic medical record.
• Ability to complete Hospice of the Comforter Orientation and Training, as necessary.
• Knowledge of intermediate to advanced application of Microsoft Office Suite including Word, Excel, PowerPoint, Outlook as well as internet software.
• Knowledge of medical terminology.
• Ability to think critically regarding admission process.
• Knowledge of patient database system.
• Knowledge of telephone protocol.
• Ability to communicate effectively both orally and in writing, and to make professional presentations.
• Ability to manage difficult or emotional customer situations.
• Ability to work with culturally diverse groups of both genders.
• Ability to be respectful and non-judgmental in all dealings with all individuals.
• Ability to read, analyze and interpret government regulations involving all aspects of hospice care, general business periodicals, professional journals or technical procedures.
• Ability to maintain strict confidentiality of organization/employee/patient/family/caregiver information.
• Ability to write effective correspondence including letters, reports and other documentation.
• Ability to operate standard office machines such as fax, copier, calculator and mail machines.
• Ability to provide superior customer service to all contacts.
• Physician office billing, registration or scheduling experience.
• General knowledge of how to navigate various web-based applications.
• ICD-9/10 Knowledge.
• CPT-4 Knowledge.

Education: High School Grad or Equiv [Required]

Work Experience: 1+ years of icd-9 and cpt-4 coding experience [Preferred] Administrative or clerical experience. Healthcare experience, call center experience or related [Preferred]

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.