Referral Specialist

GoHealth Urgent CareRochester, MN
1d

About The Position

You’re more valuable than ever – And that’s just how we’ll make you feel. Job Summary The Referral Specialist position plays a vital role in ensuring seamless referral delivery to patients for our Occupational Health program. This position is responsible for managing daily workers’ comp referrals placed through Epic. The Referral Specialist will support patient care coordination of all workers’ compensation referrals by working closely with center staff, adjusters, specialists, and patients. The role also serves as a key escalation point, providing timely troubleshooting and resolution to referral concerns, ensuring a high-quality experience and strong client relationships.

Requirements

  • High School Diploma
  • 2+ years of workers’ compensation referral experience
  • 1+ year experience working in a GoHealth center
  • Healthcare experience as an MA or front desk team member
  • Knowledge of medical office management systems and procedures.
  • Excellent time management skills and ability to prioritize work.
  • Strong customer service skills with a commitment to delivering a positive customer experience
  • Strong written and verbal communication skills for interacting with patients, customers and internal teams.
  • Highly organized with effective planning skills.
  • Skilled in Microsoft Office Suite (Excel, Outlook, Word, etc.)
  • This role involves interaction and collaboration with other departments and requires excellent judgment and interpersonal skills.

Nice To Haves

  • Bachelor’s degree

Responsibilities

  • Provide customer service support and resolution for urgent issues that arise with workers’ comp referrals, including employers, insurance adjusters, and internal customers.
  • Work with patients, employers, external specialty groups, and adjusters to process and schedule workers’ compensation referrals for patients.
  • Obtain claim information for workers’ compensation referrals as needed by contacting patient, employer and insurance adjuster.
  • Maintain strong relationships with local adjusters and specialty groups for referrals.
  • Answer patient questions regarding the delivery of their care and keep them informed of their status.
  • Answer phone calls regarding workers’ comp questions.
  • Conduct courtesy callbacks for patient follow-up as needed.
  • Complete other projects as needed such as generating reports, updating forms, supporting customer service needs and other Growth team needs.
  • Escalate client issues to direct leader as needed.
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