Referral Representative

Description

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.

Qualifications

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