Referral Specialist

About the role

The Referral Specialist role is a Hybrid role, working out of our Denver, CO, Chicago, IL, or Metro Detroit, MI offices.

Responsibilities

• Manage patient referrals to ensure timely and efficient access to appropriate healthcare services.
• Cook with healthcare providers, maintaining accurate referral records.
• Provide excellent customer service to patients.
• Communicate with patients to inform them of referral details, appointment schedules, and any necessary preparations.
• Act as a liaison between Vivent Health and external healthcare providers to ensure timely and accurate exchange of referral information.
• Maintain accurate and up-to-date records of all referrals, including patient information, appointment dates, and follow-up actions.
• Obtain necessary authorizations from insurance companies and ensure all referrals comply with insurance requirements.
• Coordinate and schedule appointments for patients with specialists and other healthcare services.
• Monitor the status of referrals and follow up with patients and providers to ensure completion of referred services.
• Address and resolve any issues or delays in the referral process, escalating concerns to appropriate personnel as needed.
• Input and update patient referral information into electronic health records (EHR) and other relevant systems accurately.
• Adhere to all agency policies, including Confidentiality, Employee Handbook, Health Care Corporate Compliance Plan, Standards of Conduct, and other relevant policies.

Requirements

• Education: High school diploma or equivalent is required. Associate degree in healthcare administration, medical assisting, or a related field is preferred.
• Work Experience: Minimum of 2 years of experience in a healthcare setting, preferably in a referral coordination or administrative role.
• Technical Experience: Proficient in Microsoft Suite. Experience with electronic health records (EHR) systems and medical terminology is highly desirable.
• Soft Skills: Excellent verbal and written communication skills to effectively interact with patients, providers, and healthcare team members. Strong customer service skills with a patient-centered approach and the ability to handle inquiries and concerns professionally. Exceptional organizational skills to manage multiple referrals and tasks simultaneously and maintain accurate records. High attention to detail to ensure accuracy in referral processing and documentation. Ability to identify issues in the referral process and implement solutions effectively and efficiently. Strong time management skills to prioritize tasks and ensure timely completion of referrals and follow-ups. Ability to work collaboratively with healthcare providers, administrative staff, and external partners to facilitate patient care. Flexibility to adapt to changing referral processes, policies, and healthcare environments. Compassion and empathy when dealing with patients and their families, ensuring a supportive and understanding approach. Strong understanding of and commitment to maintaining patient confidentiality and complying with HIPAA regulations.

Qualifications

• Knowledge Required: Required and preferred knowledge and experiences to succeed.

Skills

• Knowledge Required: Required and preferred knowledge and experiences to succeed.

Benefits

• Generous paid time off, including 12 paid holidays.
• 401k with 100% employer match up to 5%.
• 12 weeks of fully paid parental leave.
• Employer subsidized medical, dental, vision benefits, and gender-affirming care benefits.
• Employer paid short and long-term disability.
• Tuition reimbursement.
• Certification and licensure assistance.
• Additional benefits for part-time roles.

Pay

$24.00/hourly - $27/hourly (Depending on Experience)

The final salary will be determined based on factors such as market data, internal equity, candidate experience and qualifications. Please note that it is uncommon for an individual to be hired at or near the top of the range.