Referrals Specialist

About the role

Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites throughout the service area and is the sponsoring organization for the Lawrence Family Medicine Residency program.

Responsibilities

• Performs all functions necessary to ensure patients have been cleared for specialty service visits.
• Schedules appointments and tracks referrals.
• Processes prior authorizations.
• Contacts various clinics, facilities, companies to obtain information to accurately complete referral and pre-authorization requests.
• Utilizes third party payer and insurance portals; has a detailed knowledge of insurance providers, their portals and their expectations for authorization approval.
• Calls patient within 48 hours of initial referral to provide update.

Requirements

• Bilingual, Spanish and English preferred
• HS Diploma or GED Certificate required
• Mandatory medical or administrative training
• Minimum of one year of experience working in hospital or other clinical environment
• Excellent communication and customer service skills required

Qualifications

• Hybrid schedule

Skills

• Bilingual (Spanish and English preferred)
• Medical or Administrative training
• Experience in hospital or clinical setting
• Excellent communication and customer service skills

Benefits

GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.

Pay

TBD

Schedule

Monday-Friday, 8 hour shifts