Referrals Specialist

Key Role Responsibilities

• Processes referrals generated by providers at discharge, which includes: identifying referral entity, obtaining authorizations if needed, completing all necessary paperwork, and faxing supporting documents to the referring entity.
• Completes referrals based on established weekly goals.
• Tracks, monitors, and completes assigned referrals.
• Follows up with clients and/or the referring entity regarding outstanding referral issues as needed.
• Affords assistance to clients with scheduling referral appointments as needed.
• Tracks and reports processing issues to supervisor.
• Verifies client insurance benefits to obtain pre-authorization.
• Trains staff on referral completion process.
• Provides technical assistance to community sites.

Key Agency Responsibilities

• Models and reinforces the Health Care for the Homeless “core values” of dignity, authenticity, hope, justice, passion and balance.
• Participates in performance improvement activities and actively participates in advocacy activities that support the mission of Health Care for the Homeless.
• Protects our client’s personal health information by maintaining compliance with HIPAA and other relevant Health Care related IT security regulations.
• Performs other duties on an as-needed basis.

Knowledge, Experience, And Skills

• Formal Education and Training: Associate Degree; Bachelor’s preferred.
• Experience: At least two (2) years of experience in client services, preferably case management.
• Experience: Working with people who are experiencing homelessness or from low-income backgrounds.
• Experience: Working with computers and databases, preferably medical or insurance systems.
• Skills: Efficiently operates multiple line telephone system, all internal databases and operating systems and registration for benefits and insurance throughout Health Care for the Homeless’ processes and procedures.
• Customer Service: Excellent customer service, with ability to clearly communicate verbally and in writing.
• Maintain Confidentiality: Must be able to maintain confidentiality in all circumstances.
• Calmness: Must be able to remain calm in highly inflammatory circumstances, providing and taking clear direction and maintaining a respectful demeanor.
• Motivation: High level of motivation, initiative and responsibility.
• Able to Work with Interdisciplinary Teams: Able to work with interdisciplinary teams.
• Flexibility: Able to cope with interruptions, be flexible and be a team player.

Bilingual in Spanish and English preferred.