Referral Specialist

Central Florida Health Care•Winter Haven, FL

10h

About The Position

The Referral Specialist is responsible for performing all aspects of the patient referral process including coordinating and completing referrals ordered by CFHC providers, acquiring and verifying third party information for referrals, obtaining referral appointments, and tracking referrals.

Requirements

High School graduate or GED required
Experience preferred
Computer literacy
Knowledge of basic medical terminology
Knowledge of various insurance programs (example, Medicaid)
Strong customer service focus
Effective verbal and written communication skills
Organized and able to manage competing priorities
Resourcefulness in problem solving
Able to take and follow through with delegated tasks
Team oriented

Nice To Haves

Certified and Registered Medical Assistants preferred

Responsibilities

Coordinate all aspects of completing referrals ordered by CFHC providers
Complete referrals in a timely manner; STAT referrals must be completed by end of business day, URGENT referrals within 24 hours, and ROUTINE referrals within 72 hours
Obtain appropriate authorizations from insurance companies sending necessary documentation from the patient’s medical record as required
Schedule referral appointments for patient (when applicable) ensuring proper paperwork is faxed to the specialist or given to the patient to take to the appointment (example, labs, x-ray reports, progress notes)
Notify patient of scheduled referral appointment
Document appropriately and thoroughly
Track all referrals accordingly to improve the quality and continuity of care provided to patients. This includes, but is not limited to, initiating reminder calls to patients prior to their scheduled appointment and obtaining the referral report from the specialist.
Notify the ordering provider and/or Health Services Manager of any problems in obtaining a patient’s referral, including issues with obtaining authorizations from third party payors or making appointments with a specialist, patient refusal of a referral, or patient no show to scheduled referral appointment
Maintain specialty provider list including payor sources they accept
Review referral log weekly to ensure completion of all referrals
Other duties as assigned by Health Services Manager
Be familiar with CFHC’s program philosophies, goals and objectives.
Be cognizant of and comply with all CFHC’s policies and procedures, as well as state and federal regulations.
Be competent in performing the duties of a referral specialist.
Report as needed to COO any pertinent information or situations that impact on patient care or CFHC liability.
Attend and participate in mandatory CFHC meetings (Center Specific meetings, Corporate meetings, and other meetings as designated by the COO or CEO).
Demonstrate ability to work cooperatively with other members of the clinical team.
Be supportive of coworkers.
Maintain a neat and professional appearance at all times.
Carry out any other activities deemed appropriate by the COO or CEO.

Benefits

Competitive Salary
Federal Student Loan Forgiveness: PSLF – 10-year commitment, 120 loan payments and at the end of the commitment, the remaining loan is forgiven
Excellent medical, dental, vision, and pharmacy benefits
Employer Paid Long-Term Disability Insurance
Employer Paid Life Insurance equivalent to 1x your annual salary
Voluntary Short-Term Disability, additional Life and Dependent Life Insurance are available
Malpractice Insurance
Paid Time Off (PTO) – 4.4 weeks per year pro-rated
Holidays (9.5 paid holidays per year)
Paid Birthday Holiday
CME Reimbursement
401k Retirement Plan after 1 year of service (w/matching contributions)