Healthcare Resource Specialist referral team Full-Time hybrid days (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.
• Use computer skills including MS Office products and Insurance site management. EPIC preferred.
• Perform accurate and timely entry of 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.
• Collections and validates patient information. Contact insurance companies to ensure prior approval requirements are met.
• Informs patient/physician offices of referral status.
• Maintains confidentiality of all patients according to HIPAA standards.

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.

Essential Functions

• Knows, understands, incorporates, and demonstrates the Organizational Mission, Core Values, and Vision in behaviors, practices, policies and decisions.
• Ability to 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.
• Computer skills including MS Office products and Insurance site management. EPIC preferred.
• Well-developed English verbal and written communication skills to portray a professional customer image.
• Performs accurate and timely entry of referral information.
• Communicates directly with patient and/or family and referring clinic.
• Maintain ongoing tracking and appropriate documentation on referrals to ensure timely processing and patient safety.
• Collections and validates patient information. Contact insurance companies to ensure prior approval requirements are met.
• Informs patient/physician offices of referral status.
• Maintains confidentiality of all patients according to HIPAA standards.