Referral Specialist I

Referral Specialist I

Under the supervision of the Health Center Manager, the Referral Specialist I is part of a team that includes other support staff members and healthcare providers. The Referral Specialist I is primarily responsible for tracking the status of provider-directed referrals, including closing out referral tasks by obtaining and properly documenting reports resulting from referrals. As a Referral Specialist, I may also intermittently perform additional tasks, including scheduling appointments, verifying insurance information, and providing other assistance to ensure that provider-generated referrals for FCCH patients are performed efficiently and effectively.

Essential Duties and Responsibilities

• Maintains ongoing tracking of and appropriate documentation regarding the status of provider-directed patient referrals, to include system sufficient to report data and status to others;
• Helps ensure complete and accurate patient registration information, to include demographic data and current health insurance information;
• Communicates with patients, providers and other staff regarding the status of referrals;
• May contact insurance companies to confirm that prior approval requirement are met and/or to provide needed patient information(e.g., health history, diagnosis, prognosis, provider visit documentation);
• May schedule patient referral appointment, to include provision and dispensation of necessary paperwork and related patient instructions;
• Attends and contributes to meeting as needed or required;
• Performs miscellaneous job-related duties as assigned

Requirements

Minimum Education and Experience

• High school diploma or GED and at least one year of medical office or other related healthcare experience.
• Bi-lingual Spanish-speaking skills highly preferred, experience in a multiple provider setting and experience with electronic health records and healthcare practice management systems preferred.

Licenses/Certifications Required

• Medical assisting skills/certification/experience is highly preferred. CPR certification required within 6 months of hire.

Knowledge, Skills, and Abilities Required

• English proficiency, to include reading, writing and verbal communication;
• Demonstrable working proficiency using Microsoft Office applications, including Word, Excel and Outlook;
• Excellent organizational and time management skills;
• Demonstrated knowledge of medical terminology/standard medical acronyms; working knowledge of ICD-10/CPT coding;
• Ability to interact and communicate with others in a professional manner, in person and over the telephone and often in stressful situations;
• Ability to apply excellent customer service skills;
• Efficient, effective work ethic required in order to accomplish assigned tasks in a fast-paced office environment;
• Ability to work well as a collaborative member of a team;
• Demonstrated knowledge of patient care charts and patient medical histories;
• Ability to maintain calendars and schedule appointments;
• Appropriate knowledge of related accreditation and certification requirements;
• Records maintenance skills;
• Maintains knowledge of patient registration procedures and documentation;
• Ability to analyze and solve problems;
• Appropriate knowledge and familiarity with various compliance programs and elements. Cooperates fully and complies with applicable laws and regulations;
• Knowledge and familiarity with compliance program. Cooperate fully and comply with laws and regulations;

Age of Patients Served

• All ages

Physical Characteristics/Working Conditions

• Physical Effort and Dexterity: Good dexterity to operate personal computer equipment. Light physical activity expected, to include minimal handling of low-weight objects up to 10 pounds.
• Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and retrieval.
• Visual Acuity, Hearing, and Speaking: Must be able to read computer monitor output accurately. Must be able to communicate clearly and accurately for work and safety compliance.
• Environment/Working Conditions: Work is mostly performed inside a clinic in a controlled environment. Normal clinic safety precautions and practices are required. Position may require travel throughout the FCCH operations area. Work regularly scheduled hours Monday-Friday, although evenings/weekends may be required to meet deadlines or to support necessary changes in health center needs. First Choice Community Healthcare provides all training required by OSHA to ensure employee safety.