As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director.
JOB RESPONSIBILITIES:
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Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.
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Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.
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Completes referral information for patients as requested by the Providers.
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Maintains and updates referral resource binder.
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Manages open referral orders by finding documents and follows up with all parties involved.
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Assists with patient phone calls and questions.
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Follows up with specialty clinics to coordinate patients medical information flow.
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Maintains accurate and timely documentation.
- Obtain prior authorization for specific testing.
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All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
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Perform other duties as assigned.
REQUIRED QUALIFICATIONS:
Education/Training
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High school diploma or equivalent
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Some college (not required but highly preferred)
Experience
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At least 1-2 years of experience in a medical administrative position
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At least 1-2 years of experience in a customer service position
Skills/Job Requirement
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Strong organizational and time management skills
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Strong customer service skills
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Proven ability to work well in a team environment
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Excellent verbal and written communication skills
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Proven experience with basic medical terminology (not required but highly preferred)
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Ability to follow HealthLinc policies and procedures
Technology Skills
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Operate a multi-line phone system and other office equipment including printers, fax machines, etc.
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Basic computer skills (Microsoft Office, EHR, online sources, etc.)
DIRECT SUPERVISION:
REQUIRED TRAINING:
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All assigned Relias training
