The Referral Specialist works with clinical team and must navigate and negotiate successful tracking and coordination of referrals; it requires highly technical clerical tasks, specific to an area of work. The work includes responsibility for the preparation of specialized departmental documents; significant interpersonal staff and public contact, appropriate and professional conduct, independent judgment, discretion, and personal initiative; and use of Electronic Health Record (EHR) systems.
Responsibilities Primary Job Functions:
Referrals:
Track and enter all referral requests in EHR System dailyPrioritize urgent referrals and follow entire process through to confirmed scheduled appointmentCommunicate and coordinate Health Center referral requests with outside specialistsRequest authorizations from patient’s insurance companies required by specialistsRequest authorization extensions or adjustments as requested by specialistsRe-refer/re-schedule patients if they do not make their original referred appointmentProvide contact information to patients asking for specific details about their appointmentsAnswer, respond and document phone calls, request, and questions from patients in a timely mannerRoutinely make notification phone calls to patients throughout the referral processDocument every step of the patients’ referral process in EHR systemCloses the final loop in referral tracking and document patient completion in EHREnsure compliance with Referral UDS and performance data measures identified. Communicate information via computer, phone, fax, and in writing to appropriate resourcesRespond to In-house provider questions, requests, and concerns regarding the status of patient referrals, care coordination or follow-up statusCommunicates effectively with all members of the treatment team
Other duties
Knowledgeable of sliding fee scale for qualifying patients and can counsel and educate patientsAssist with coverage of front desk as needed to handle patient needsAssist with coding and review of records for billing purposesComplies with Health Center’s policies and proceduresDemonstrates professionalism, patience, and a high level of interpersonal and communication skills with patients, staff, visitors, and outside organizationsSeeks supervision and consultation as needed.Accepts and employs suggestions for improvement.Actively works to enhance skills.Documents in a timely fashion per policy.Documents in a clear, legible, and concise manner.
Courteous and respectful towards consumers, visitors, and co-workers
Treats consumers with care, dignity, and compassion.Respects consumers’ privacy and confidentiality.Is pleasant and cooperative with others, including consumers and families.Assists consumers and visitors as needed.Personal values don’t inhibit ability to relate and care for others.Is sensitive to the consumers’ needs, expectations, and individual differences.
Administrative and Other Related Duties as assigned:
Actively participates in AltaPointe committees as required.Accurately completes assigned tasks in a timely manner.Accesses appropriate community resources according to consumers’ needs.Follows AltaPointe policies and procedures.Maintains current license and requirements for renewals and certifications, if applicable.Qualifications
High School graduate or equivalent. Proficiency in Excel; ability to problem solve and carry out task independently; Preferred experience in medical practices to include outpatient best practices, FQHC, community mental health; coding and billing, Proficient with computer applications including Microsoft Office Suite, EHR and medical billing software, Knowledge of HIPAA.