Referral Specialist

Qualifications

• Certified and Registered Medical Assistants preferred
• 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

Responsibilities

• 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.
• 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.

Duties of a Referral Specialist

• Carefully 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 and send necessary documentation from the patient’s medical record as required.
• Schedule referral appointments for the patient, 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).
• Document appropriately and thoroughly.
• Track all referrals accordingly to improve the quality and continuity of care provided to patients.
• Initiate reminder calls to patients prior to their scheduled appointment and obtain 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.
• Review the specialty provider list including payor sources they accept.
• Review the referral log weekly to ensure completion of all referrals.
• Perform 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)
• Physical Requirements: Requires 80% or more time spent sedentary. Independently mobile. Ability to lift weight equivalents that would be required with re positioning equipment and lifting supplies. Ability to adapt and function in varying environments of workload, patient acuity, work sites, and work shifts.