Referral Specialist Ortho/Spine Office

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Obtain insurance authorization from patient’s insurance company. This may be done by phone, fax, or online depending on insurance company’s process.
• Cook up patient referrals to specialist as requested by providers.
• Coordinate patient referrals to specialist as requested by providers.
• Enter and maintain accurate, comprehensive data entry of all referrals into database. Verify all pertinent documentation has been provided for the type of referral requested.
• Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
• Call patient with appointment information. Document all stages of the referral in the appropriate data base or in writing.
• Demonstrate adaptability and accept change in a positive manner.
• Responsible to keep current with corporate communications such as email and internal network such as the Pulse, SJEN, etc.
• Present and ready for work in designated area at assigned time and dressed in appropriate work attire.
• Readily assist other staff members upon completion of assigned duties.
• Understand and adhere to all departmental policies and procedures.
• Responsible for completing and maintain all required training relative to job function.
• Exemplify a strong adherence to the professional code of conduct.
• Maintain a professional and positive attitude and demonstrate a supportive and understanding behavior when in contact with patients, providers, employees, and patients.
• Follow all policies and procedures mandated by St. Joseph’s Physicians and the Government regarding HIPAA and OSHA.
• Abside by the policies and procedures set forth in the St. Joseph’s Physicians employee handbook.
• Perform duties and assist providers as part of the practice care team.
• Take part in daily team huddles and/or other periodic team meetings to facilitate communications and enhance positive patient experiences and quality delivery of care.
• Participate in quality improvement initiatives as part of the practice care team.
• Insure job functions align with office policies and procedures and patient-centered medical home standards.
• Perform other duties and responsibilities as required or requested

KNOWLEDGE, SKILLS AND ABILITIES

• Knowledge of practice management computer systems (maybe name system i.e. EPIC)
• Demonstrated ability to work independently and as a team
• Knowledge of general office machines and telephone system
• Familiarity with identification of medical documents
• Ability to work well under pressure and within tight deadlines
• Ability to multitask and adapt to shifting priorities
• Maintain high degree of discretion when dealing with confidential information
• Detail oriented

EDUCATION AND EXPERIENCE

• High School diploma or equivalent
• Experience in an office environment and/or health care setting helpful