Referral Specialist
About The Position
Rural Health Group is seeking a full-time Referral Specialist at our RHG at Halifax Medical Specialist clinic in Roanoke Rapids, NC. Successful candidate must demonstrate the Rural Health Group Core Competencies, which include: Good Judgment Communication/Customer Service/Teamwork Passion Honesty Responsibility Job-Specific Skill Set ESSENTIAL JOB DUTIES AND RESPONSIBILITIES Responsible for scheduling STAT/URGENT referrals, tracking referrals and tracking hig risk referrals and actions Responsible for obtaining prior authorization from Insurance carriers for ordered Diagnostic Testing/ Procedures and ordered Specialty Referrals. Maintains confidentiality of patient health records and other information as required by applicable laws Processes referrals in a timely fashion, including sorting and processing referrals by indicated urgency and date Refers patients to specialists based on available medical, financial, and transportation resources Documents and enters all referrals appropriately in patients’ health record Reviews with patients the referral details including their own responsibilities Verifies that providers have sufficiently documented the reason for the referral and have done the appropriate workups prior to the referral Assembles and forwards complete and accurate documentation Maintains ongoing tracking of all referrals Handles incoming phone calls and responds to requests for information from patients and outside sources Performs other duties as assigned Actively participates in quality improvement teams/meetings Monitors and tracks high risk and current cancers.
Requirements
- High school diploma or GED.
- Outpatient physician office experience strongly preferred
- Ability to multi-task and work efficiently in a potentially stressful environment
- Ability to apply common sense understanding when carrying out detailed written or oral instructions
- Ability to establish and maintain positive, effective, professional relationships with patients, providers, coworkers, and superiors
- Possess knowledge of modern office equipment, Microsoft Office software programs, medical practice management systems, and basic computer skills (including the ability to type)
- Must be able to quickly learn to use eClinicalWorks electronic health record system
- Must have excellent organizational, telephone, and verbal and written communication skills
- Must be able to sit for long periods of time.
- Must be able to lift 25-50 pounds.
- Must be able to ambulate for extended periods of time.
- Embraces the team concept; encourages and models healthy, productive team behavior
- Federal and State Criminal Background Checks and Drug Screen required for all positions.
- Influenza vaccine is also a condition of employment.
- E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.
Nice To Haves
- Bilingual (English/Spanish) is a plus, but not required - applicants who may serve in a translating capacity will be required to take a language assessment
Responsibilities
- Responsible for scheduling STAT/URGENT referrals, tracking referrals and tracking hig risk referrals and actions
- Responsible for obtaining prior authorization from Insurance carriers for ordered Diagnostic Testing/ Procedures and ordered Specialty Referrals.
- Maintains confidentiality of patient health records and other information as required by applicable laws
- Processes referrals in a timely fashion, including sorting and processing referrals by indicated urgency and date
- Refers patients to specialists based on available medical, financial, and transportation resources
- Documents and enters all referrals appropriately in patients’ health record
- Reviews with patients the referral details including their own responsibilities
- Verifies that providers have sufficiently documented the reason for the referral and have done the appropriate workups prior to the referral
- Assembles and forwards complete and accurate documentation
- Maintains ongoing tracking of all referrals
- Handles incoming phone calls and responds to requests for information from patients and outside sources
- Performs other duties as assigned
- Actively participates in quality improvement teams/meetings
- Monitors and tracks high risk and current cancers.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
