Healthcare Resource Specialist Referral Team full-time days HYBRID (Boise)

About the role

This work is done primarily over the phone, in a non-clinic setting. To be successful in this position, you must have a strong passion for customer service as well as working within a team.

Responsibilities

• Provide excellent customer service to patients, physicians and staff to maintain and promote positive relationships.
• Interact over the phone with Saint Alphonsus patients and physician offices in order to effectively and efficiently process referrals.
• Work independently with minimal supervision; as well as part of a team working with others to solve problems, improve workflow, assure back-up, and achieve an enjoyable work atmosphere.
• Collaborate with multiple clinics to best utilize resources while accommodating physician preference and patient needs consistent with Saint Alphonsus values and missions.
• Support all of the clinic departments and must navigate and negotiate successful tracking and coordination of referrals; it requires highly technical clerical tasks.
• Use various software platforms.
• Ensure patient information is accurately collected to facilitate the referral process and provide quality service to physicians related to patient information and communication needs.

Requirements

• Education: High School Diploma or equivalent required.
• Experience: Previous experience in hospital, medical or insurance office setting preferred.
• Working knowledge of medical terminology and the healthcare system (insurances, Medicare, Medicaid, physician office operations) preferred.

Qualifications

• Computer skills including MS Office products and Insurance site management. EPIC preferred.
• Able to work in multiple software applications and electronic health record systems simultaneously.
• Well-developed English verbal and written communication skills to portray a professional customer image.
• Accurately and timely enter referral information.
• Communicate directly with patient and/or family and referring clinic.
• Maintain ongoing tracking and appropriate documentation on referrals to ensure timely processing and patient safety.
• Collects and validates patient information.
• Contact insurance companies to ensure prior approval requirements are met.
• Informs patient/physician offices of referral status.
• Maintain confidentiality of all patients according to HIPAA standards.

Skills

• Strong customer service skills.
• Excellent verbal and written communication skills.
• Ability to work independently and as part of a team.
• Proficiency in medical terminology and healthcare systems.
• Knowledge of various software platforms and electronic health record systems.

Benefits

We offer a full benefits package including competitive compensation, growth opportunities, and a commitment to diversity and inclusion. Visit www.saintalphonsus.org/careers to learn more about the benefits, culture, and career development opportunities available to you at Saint Alphonsus Health System.

Pay

The pay for this position is commensurate with experience.

Schedule

The schedule for this position is typically Monday through Friday during typical office hours, with the percentage of time working in-office vs remote depending on business needs and determined by the Supervisor.