Lead Referral Specialist

SUMMARY:

The Lead Referral Specialist reports to the Practice Manager. Under general supervision, they are responsible for coordinating the effective and efficient patient flow in regard to processing referrals for the centralized referral department: processing referrals, tracking referrals, and closing the referral loop. Monitors work queues to ensure the care coordination cycle is followed and provides a good patient experience.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

Instill Trust and Value Differences
Patient and Community Focus and Collaborate

RESPONSIBILITIES:

Maintain current knowledge of insurer referral/authorization requirements and have a working understanding of the patient population and demonstrate cultural awareness and sensitivity. Acts as a resource to practice team members regarding referral issues. Participates in practice performance and quality improvement activities. Attends required meetings and trainings as directed. Assigns daily referral coordinator coverage for all offices based on referral volume and staff attendance in compliance with service standards Communicates directly with the practice staff and managers to support the timely processing of referrals Ensures all referral coordinators adhere to department policy and procedure Provides coverage as needed to all outpatient rehab Other duties as assigned.

MINIMUM QUALIFICATIONS:

class=WordSection1 h2span style=font-size: 1.6rem; background-color: transparent; -webkit-text-fill-color: unsetBasic Knowledge:/h2span style=font-size: 1.6rem; font-weight: 400; background-color: transparent; -webkit-text-fill-color: unsetHigh school degree or the equivalent. Billing and medical span style=font-size: 1.6rem; font-weight: 400; background-color: transparent; -webkit-text-fill-color: unsetknowledge.h2/h2 h2 table cellpadding=0 cellspacing=0 tbodytr /tr tr /tr /tbody/tablebr clear=ALL EXPERIENCE:/h2 Two years of clinical referral experience required. table cellpadding=0 cellspacing=0 tbodytr /tr tr /tr /tbody/table br clear=ALL span style=font-size:8.0pt7932span style=font-size:8.0pt-span style=font-size:8.0ptPositionspan style=font-size:8.0ptcontinued... Data entry skills and computer experience required. Strong customer service focus. Effective verbal and written communication skills. Organized and able to manage competing priorities. Able to take and follow through with delegated tasks and accountability. Demonstrated knowledge and skills necessary to provide care to patients throughout the Brown University Health with consideration of aging processes, human development stages and cultural patterns in each step of the care process. h2 table cellpadding=0 cellspacing=0 tbodytr /tr tr /tr /tbody/tablebr clear=ALL SUPERVISORY RESPONSIBILITY:/h2 None.

Pay Range:

$20.96-$34.61

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location:

117 Ellenfield Street - N/A Providence, Rhode Island 02903

Work Type:

M-F 8:00-5:30PM

Work Shift:

Day

Daily Hours: 

8 hours

Driving Required:

No