Referral Specialist
About the role
As our Referral Specialist, you will play a pivotal role in optimizing patient access to care by facilitating seamless coordination between clinical departments, providers, and patients. You will serve as a key administrative partner, ensuring that internal and external referrals are managed with precision to enhance the overall patient experience. By bridging the gap between referring clinicians and specialty care teams, you will help maintain continuity of care and ensure that essential documentation is accurately routed across our healthcare network. From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours. Local Candidates Only - Remote Eligible after Onsite Training.
Responsibilities
- Optimize patient access to care by facilitating seamless coordination between clinical departments, providers, and patients.
- Serve as a key administrative partner, ensuring that internal and external referrals are managed with precision to enhance the overall patient experience.
- Bridge the gap between referring clinicians and specialty care teams to maintain continuity of care and ensure essential documentation is accurately routed across the healthcare network.
- Manage complex referral work queues within the Electronic Medical Record (EMR) system, validating pre-authorizations and ensuring all orders meet clinical standards.
- Act as a dedicated patient advocate, communicating with patients and representatives to gather necessary demographic information and coordinate appointment preferences.
- Collaborate with revenue cycle and clinical staff, identify potential access barriers, and track performance metrics to ensure efficient referral management and full regulatory compliance.
Requirements
- High School Graduate / GED
- Minimum of one year healthcare-related experience, preferably in a position involving scheduling and EMR utilization
- Experience with Google Suite or Microsoft Office products
Skills
- Proficiency in Microsoft Office or Google Suite