Description

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES (including, but not limited to): 

• Prioritize referrals according to level of urgency, schedules patient appointments as necessary and communicates referral information to patients. 

• All STAT and ASAP referrals are processed within one business day. Routine referrals should be processed within 3 business days, routine screening consult within 5 business days. 

• Follow up on any specialty/provider which has not sent summaries/reports to office. 

• Ensure complete and accurate registration, including patient demographic, current insurance information. 

• Assemble information concerning patient’s clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialty. 

• Maintain referrals tracking system and up to date referrals appropriate documentation of referrals to promote team awareness. 

• Patients are notified verbally and given/sent written confirmation regarding their appointment time, location, special instructions. 

• Coordinate appointments as needed with outside facilities and specialist. 

• Follow up on prior authorizations is performed at least weekly and notes made in the referral notes section. 

• Follow up on pending referrals on a daily basis. 

• Provides a standard of excellence as it relates to customer service and satisfaction for all customers. 

• Communicates with all stakeholders, staff, providers, payers and patients as appropriate. 

• Performs other duties as required. 

Qualifications

High School diploma or equivalent required.

Up to one (1) year of relevant work experience required.

Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.

Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.

.A valid driver's license in State of employment is required; position may require travel within the market.

 1 year (Preferred)Customer Service: