Referral Specialist

Job Description

Job Description

Job Posting TitleReferral Specialist

Job Description

Description:  We are seeking a highly organized Patient Referral Specialist with a strong commitment to patient care. The Patient Referral Specialist is responsible for managing the intake and referral process for patients. The ideal candidate will excel in providing exceptional customer service while efficiently handling inbound and outbound referrals, verifying patient eligibility, coordinating medical and administrative staff, and ensuring a seamless experience for patients. This role plays a crucial part in ensuring seamless patient care and satisfaction. 

Our Culture: Inspire hope. Build your legacy.  Build a rewarding career with Florida Digestive Health Specialists (FDHS), Florida's largest physician-owned gastroenterology practice. Since 2011, we've been dedicated to delivering exceptional digestive healthcare through compassionate patient care, clinical excellence, and advanced research. With more than 30 locations statewide and many physicians recognized as Castle Connolly Top Doctors , you'll join a collaborative team known for excellence, where your contributions are valued, your professional growth is supported, and your work makes a meaningful impact. Come grow with us and help shape the future of digestive healthcare.

As we continue to grow, we are seeking a Patient Referral Specialist to join our team and support our mission. 

Essential Duties: 

• Receive, review, and process new patient and established patient referrals from healthcare providers and other referral sources. 
• Communicate with referring providers to obtain complete and accurate referral documentation. 
• Enter patient referral information into the EMR system and ensure all necessary data is recorded. 
• Schedule appointments.
• Contact review organizations and insurance companies to ensure prior approval requirements are met and enter copays and insurance information into eCW. 
• Check for and obtain authorizations before scheduling appointments. 
• Contact insurance companies to verify patient plans and coverage options. 
• Gather information concerning patient’s clinical background and referral needs. 
• Review details and expectations about the referral with patients.
• Answer phone calls and speak with patients about appointment openings, cancellations, and referrals. 
• Perform referrals through P2P for MIPS. 
• Comply with HIPPA and other privacy regulations to ensure the confidentiality of patient information. 
• Assist with other administrative tasks as assigned by management. 
• Other duties as assigned. Please note that the duties and responsibilities outlined in this job description are not exhaustive and may be subject to change at any time to meet the evolving needs of the company. In addition to the responsibilities listed above, employees may be required to perform additional tasks or duties as assigned by management. 

  Qualifications:

• High school diploma or equivalent required. Additional certification in medical office administration or related field is a plus. 
• Proven experience in a healthcare setting, preferably in appointment scheduling or customer service role.
• Excellent verbal and written communication skills with the ability to communicate effectively with patients and healthcare professionals. 
• Strong organizational skills with the ability to multitask and prioritize tasks in a fast-paced environment.
• Empathetic and compassionate demeanor, with the ability to handle sensitive patient situations with care and professionalism. 
• Proficiency in using scheduling software and electronic medical records (EMR) systems. 
• Meticulous attention to detail to ensure accuracy in patient records and scheduling.
• Ability to collaborate effectively with colleagues and contribute to a positive work environment.
• Willingness to adapt to changing priorities and work schedules as needed. 

EEO Statement: 

It is the policy of Florida Digestive Health Specialists to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

When you join FDHS, you become part of a premier team striving to deliver unparalleled, personalized care while treating patients like family. And at FDHS, our patients are at the heart of everything we do. Join our team at FDHS and make a difference in the lives of our patients and employees alike!