What are the responsibilities and job description for the Referral Representative (51259) position at HealthLinc?
As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director.
JOB RESPONSIBILITIES:
- Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.
- Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.
- Completes referral information for patients as requested by the Providers.
- Maintains and updates referral resource binder.
- Manages open referral orders by finding documents and follows up with all parties involved.
- Assists with patient phone calls and questions.
- Follows up with specialty clinics to coordinate patients medical information flow.
- Maintains accurate and timely documentation.
- Obtain prior authorization for specific testing.
- All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
- Perform other duties as assigned.
REQUIRED QUALIFICATIONS:
Education/Training
- High school diploma or equivalent
- Some college (not required but highly preferred)
Experience
- At least 1-2 years of experience in a medical administrative position
- At least 1-2 years of experience in a customer service position
Skills/Job Requirement
- Strong organizational and time management skills
- Strong customer service skills
- Proven ability to work well in a team environment
- Excellent verbal and written communication skills
- Proven experience with basic medical terminology (not required but highly preferred)
- Ability to follow HealthLinc policies and procedures
Technology Skills
- Operate a multi-line phone system and other office equipment including printers, fax machines, etc.
- Basic computer skills (Microsoft Office, EHR, online sources, etc.)
DIRECT SUPERVISION:
- N/A
REQUIRED TRAINING:
- All assigned Relias training