Referral Specialist

About the role

As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes. Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services. To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients. Collaborates across departments with physicians, advanced practice providers (APPs), clinic, revenue cycle, hospital and ancillary department staff to facilitate scheduling across the patient care continuum. Schedules patients for referred services in various clinic and hospital departments following complex department-specific scheduling processes and utilizing applicable EMR scheduling programs. Effectively communicates with the patient/patient representative to gather pertinent demographic information and referral preferences to determine the appropriate time and location for the referred service. Collaborates with clinic staff and revenue cycle staff to validate pre-authorization for referred services prior to the scheduled time of the service. Manages referral work queues in the EMR, accurately documenting referral process steps and ensuring completion of the referral process with final status communication back to the referring clinician. Ensures referral orders are entered accurately into the EMR and communicates with the referring clinician for any necessary changes or clarifications. 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.

Responsibilities

• Obtain clearances for specialty visits
• Issue referrals for ancillary services (consults, imaging, labs)
• Secure approvals for medications, DME, home health, and other vital services
• Collaborate across departments with physicians, APPs, clinic, revenue cycle, hospital and ancillary staff to facilitate scheduling
• Schedule patients for referred services in various clinic and hospital departments using EMR scheduling programs
• Communicate with patients/representatives to gather demographic information and referral preferences
• Validate pre‑authorization for referred services with clinic and revenue cycle staff
• Manage referral work queues in the EMR, documenting steps and ensuring completion
• Ensure referral orders are entered accurately into the EMR and communicate changes with referring clinician

Requirements

• High School Graduate / GED
• Minimum of one year healthcare‑related experience, preferably in scheduling and EMR utilization
• Experience with Google Suite or Microsoft Office products

Pay

$15.67 - $22.14 per hour