Referral Specialist

Referral Specialist

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings.

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

The posted compensation range of $15.67 - $22.14 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes. Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services. To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients.

• Collaborates across departments with physicians, advanced practice providers (APPs), clinic, revenue cycle, hospital and ancillary department staff to facilitate scheduling across the patient care continuum.
• Schedules patients for referred services in various clinic and hospital departments following complex department-specific scheduling processes and utilizing applicable EMR scheduling programs.
• Effectively communicates with the patient/patient representative to gather pertinent demographic information and referral preferences to determine the appropriate time and location for the referred service.
• Collaborates with clinic staff and revenue cycle staff to validate pre-authorization for referred services prior to the scheduled time of the service.
• Manages referral work queues in the EMR, accurately documenting referral process steps and ensuring completion of the referral process with final status communication back to the referring clinician.
• Ensures referral orders are entered accurately into the EMR and communicates with the referring clinician for any necessary changes or clarifications.

Required

• High School Graduate /GED and
• Minimum of one year healthcare related experience, preferably in a position involving scheduling and EMR utilization, upon hire and
• Experience with Google Suite or Microsoft Office products

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards