Referral Specialist

Come join our team! We have an immediate need for a Referral Specialist in our Gainesville Dermatology clinic! If you are ready to make an impact every day, and thrive in a fast-paced environment, then a career at Forefront may be the perfect fit for you!

The Referral Specialist ensure patients have been cleared for specialty service office visits.  Resolves pre-certification, registration and case-related concerns prior to a patient’s appointment.  Gathers pertinent information from insurance carriers, financial counselors, and other staff to determine the patient’s financial obligations for services provided.   The Referral Specialist acts as a liaison between hospitals, physicians, health plans, vendors and patients, or other referral sources.

Here are just a few things we offer:

• Access to health, dental, and vision insurance
• Health Savings Account $500 matching contribution
• Eligible for PTO and Holiday pay
• Company paid life insurance and long-term disability (full-time only)
• Access to voluntary short term disability insurance (full-time only)
• Access to additional life insurance
• Eligible for Accident and Critical Illness Insurance, Hospital Indemnity and Cancer Guardian
• 401K with employer contribution
• Profit sharing
• Employee discounts
• And much more!

• Ensures complete demographic, insurance information and appropriate/pertaining clinical information is sent to referred specialists.
• Prioritizes referrals by their urgency and addresses them in a timely manner.
• Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
• Reviews details and expectations about the referral with both ordering providers and patients. Requests new referrals to be ordered when applicable.
• Contacts insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as, history, diagnosis and prognosis to insurance companies if deemed necessary to prove medical necessity of services.
• Services as primary point of contact for patients and specialists for any questions or rising concerns.
• Adherence to compliance and completion of compliance training.
• Performs other related duties as assigned.

Education

1. Must possess a high school diploma or GED Certificate.
2. At least two years of experience in a medical office or similar setting.

Knowledge, Skills and Abilities

1. Ability to learn new software, including electronic medical records systems.
2. Must be detail oriented.
3. Must have excellent communication skills and the ability to communicate effectively orally and in writing.
4. Demonstrated leadership experience. Must be able to demonstrate leadership by serving as an example to others with regard to professional behavior, handling multiple tasks, maintaining a positive attitude, and in response to organizational change.
5. Proficiency with Microsoft Word, Excel and PowerPoint is required. Must be able to learn new software quickly.
6. Must possess excellent leadership, organizational, and computer skills.
7. Ability to work effectively and cooperatively with staff, board, clients, and the public.
8. Ability to multi-task, prioritize appropriately, and work well both individually and as part of a team.
9. Ability to use time productively and contribute to high levels of company operational efficiency and effectiveness.
10. Ability to maintain confidentiality of information.