Referral Specialist - Gastroenterology * Days - 40hrs/wk.

Skill Requirements

• High School education or equivalent
• One year of experience in a medical office and/or prior experience coordinating referrals
• Knowledge of medical terminology
• Able to work independently and collaboratively with minimal supervision
• Knowledge of medical record content and sequence
• Training or experience in medical coding and managed care insurance plans
• Knowledge of appointment scheduling process
• High level of interpersonal skills
• Communicate effectively, both verbal and written
• Able to prioritize, maintain accurate records, and work under deadline
• Excellent customer service skills

Essential Functions

• Schedules and coordinates specialist appointments, procedures and tests done internally or externally.
• Maintains EMR orders to ensure providers enter information correctly.
• Validates insurance coverage and processes insurance authorizations.
• Assembles information concerning patient’s clinical background and referral needs.
• Enters and tracks all referral requests in the EMR or other information system as required.
• Responds and documents requests from providers and patients in a timely manner.
• Participates in process improvement activities to enhance referral process and workflow.
• Performs other duties as assigned.