Responsible for maintaining and processing referrals and related support services for staff and physicians in the HIV Health Center clinic.
Referral Specialist must have a vast knowledge and understanding of several types of insurances and specialty that will be process for successful completion.
Detailed - oriented and able to work with persons of diverse populations.
The Referral Specialist should be a self-starter and self-motivated.
Coordinate incoming and outgoing patient referrals to specialist as requested by physicians in a timely manner.
Organized and Document incoming referrals into EMR system.
Send tasks to appropriate staff members for scheduling of return approved referrals.
Complete and maintain referral log for incoming and outgoing referrals.
Track ALL incomplete referrals and follow up with patients or outside resources until services are completed.
Contact organizations and insurance companies to ensure prior approval requirements are met.
Maintain accurate records of all client interactions in client services data base in a timely manner.
Communicate with patients as the main point person regarding scheduling and confirming of designated place of service.
Other relevant duties as assigned.
TRAINING, EXPERIENCE, ABILITIES
High School Diploma or Associate of Arts/Associate Science Degree with experience in medical office or 5 years experiences or more required.
Required knowledge of managed care and private insurances guideless for referrals.
Effective verbal and written communication skills.
Understanding and used of CPT and ICD
Customer Service orientated to communicate with outside resources related to referrals.
Organized and able to manage competing priorities
Resourcefulness in problem solving
Able to take and follow through with delegated tasks and accountability
Experience with physician referral process required
Knowledge of EHR systems
Flexible hours and/or shift variation may be required
Bilingual Spanish preferred, but not required.
Relate to all types of individuals in a non judgmental and professional way;
Work efficiently and accurately in a fast paced environment with multiple priorities
Establish and maintain professional boundaries with staff and patients at all times
Coordinate multiple tasks.
Interface effectively in a team environment with agency staff and volunteers;
Handle crisis and stressful situations in a calm and respectful manner.
Essential Job Functions:
Ability to interpret client files and medical charts
Ability to handle multiple phone lines;
Ability to effectively communicate with all levels of individuals.
Ability to operate computer and standard office equipment.
Effective written/verbal communications skills with all levels of individuals.
Revised January 2014
Desert AIDS Project - 7 months ago