Referral Specialist

Department/Location: Family Practice – 333 S. Madison St. Reports To: Practice Manager Classification: Non-Exempt | Full-time (40 hours per week) Schedule: Hybrid 8 am to 4:30 pm/5 pm Open Door Health Services is seeking a full-time Referral Specialist at our main location office in downtown Muncie, Indiana. Overview As a Referral Specialist you will uphold our Mission, Vision, and Values. In this position, you will be responsible for arranging referrals for patients to providers outside of ODHS and obtaining Medicaid Prior Authorizations as needed for patient referrals to providers outside of ODHS. You will also track all referrals for completion and work closely with all staff members to ensure that the flow and accuracy of information meet their needs and contribute to organizational objectives. As a Federally Qualified Health Center, Open Door Health Services provides comprehensive primary, urgent, preventive, and select specialty services and social support programs for individuals and families, regardless of their ability to pay. Our patients represent diverse backgrounds, life experiences, capacities, and orientations. Location This position is located at 333 S. Madison St. Complies with all agency policies and procedures concerning corporate compliance including privacy of protected health information. At the request of clinic provider, makes appointments for patients with other providers/agencies as designated. Follows up with the patient and completes the appropriate paperwork/data entry. Initiates insurance Prior Authorization needed for approval for referrals at the request of a clinic provider. Follows up with the patient and completes the appropriate paperwork/data entry. Track all referrals for completion, including obtaining any reports generated pertaining to the referral. Able to work with a high degree of precision paying attention to detail to achieve the high level of accuracy required. Process home health orders by sending them to providers to sign then send back to agency. Handle DME orders & paperwork. Successful candidates will: Good communication skills and ability to work closely with others and in teams. Able to work unsupervised. Able to maintain patient confidentiality. Able to help patients and staff in a friendly and efficient manner. Good planning and organization skills. Good problem-solving skills. Qualifications High School diploma or GED equivalence. Prefer experience in a health care setting. About Open Door For more than 50 years, Open Door Health Services has provided friendly, expert, patient-centered care for East Central Indiana residents, with or without insurance. Services are offered at multiple locations in Muncie and Anderson, Indiana. We are strongly guided by our mission, vision, and values in all we do. Mission: Our mission is to improve the quality of life of others. We strive to create a better life and future for others, and ourselves, by enhancing the communities where we live, work, and play. Vision: Open Door Health Services is the preferred partner in East Central Indiana for improving the well‑being of individuals and the communities in which they live. Values: Esteem the Team • Maximize Potential • Do the Right Thing • Choose Compassion • Encourage Uniqueness Open Door offers: An excellent benefit package covering your medical, dental, and vision needs Competitive pay Supportive team environment PTO and vacation time Opportunities for learning and career growth Physical and Environmental Requirements Frequent exposure to communicable diseases, toxic substances, medicinal preparations, and other conditions common to clinic environment. Requires corrected vision and hearing to normal range or use of approved adaptive equipment. Requires standing, walking or sitting for long periods of time. Occasional bending, stretching or lifting up to 40 pounds. Requires the ability to work under stressful situations. #J-18808-Ljbffr