Referral Network Specialist 2

The Referral Specialist will provide support to all MedHealth clinics. Referral services include processing all incoming referrals from providers and clinical support staff. Furthermore, specialists serve as a reserve point of contact into the MedHealth clinics as it relates to incoming calls, appointment scheduling, and follow up calls related to coordination of care. The candidate will serve as a liaison between patients and clinical support staff.
Your Job Requirements:
PERFORMANCE REQUIREMENTS
KNOWLEDGE, SKILLS, AND ABILITIES
The responsibilities and duties listed above are representative of the knowledge, skill and ability required. Perception necessary to observe pertinent detail when communicating with patients. Knowledge of common safety hazards and precautions to establish a safe working environment. Ability to maintain quality control standards. Strong positive interpersonal skills; can effectively communicate both verbally and written. High degree of initiative and organizational skills.
EDUCATION
High School Graduation or GED required. Diploma from an accredited medical assist program or equivalent clinical program required. Position requires an individual with diverse skills. Individual must be able to work on discrete tasks in a high volume, high-pressured environment. Good judgment and professional demeanor is a must.
CERTIFICATION/LICENSE
Current National Medical Assistant Registration/Certification credential or equivalent clinical credential preferred.
EXPERIENCE AND SKILLS
3+ years of professional medical knowledge in a practice setting is preferred. Bilingual a plus.
Your Job Responsibilities:
DUTIES AND RESPONSIBILITIES (LIST MAY NOT INCLUDE ALL OF THE DUTIES ASSIGNED.)
• Offers exceptional customer service while performing tasks professionally and with a positive attitude. Has the ability to handle multiple tasks. Must be able to research required information using available resources. Capable of handling and resolving customer issues. Must be able to identify and escalate priority tasks per department workflows.
• Demonstrates the ability to complete Non-Urgent referrals process. This includes but is not limited to an expert knowledge of the workflow processes required to complete Non-Urgent referrals within expected timeframe.
• Demonstrates the ability to complete 3-Day Urgent referrals process. This includes but is not limited to an expert knowledge of the workflow processes required to complete 3-Day Urgent referrals within expected timeframe.
• Demonstrates the ability to complete STAT referrals process. This includes but is not limited to a good working knowledge of the workflow processes required to complete STAT referrals within expected timeframe.
• Ensures all requested patient referrals are timely completed within the established department time-frame criteria. Interacts with office management, specialist staff, and insurance companies in order to accurately and efficiently process physician referral requests in an effort to provide high quality patient care.
• Coordinates the efforts of the referral management department, verifies patients have scheduled appointments with the specialty providers, and provides patient addresses, phone numbers, and authorization referral forms to specialists as necessary.
• Faxes (eFax) completed specialist referral form, lab results, patient demographics, test data and primary care notes to other physicians and patient service consultants as necessary and directed. Documents all encounters with patients and physicians within EMR system. Logs all referrals into EMR system and monitors status to ensure timely completion. Makes outbound calls as needed to complete assigned tasks related to referrals.
• Serves as reserve point of contact into the Methodist Family Health Centers and Methodist Medical Group as it relates to incoming calls, appointment scheduling, and follow up calls related to coordination of care. Maintains strictest confidentiality while attempting to provide first call resolution. Screens calls, takes messages when applicable, and conveys information to appropriate parties in accordance with department workflows.
• Complies with all administrative workflows of the referral department. Maintains and follows all policies and procedures of organization and those specific to MedHealth.
• Communicates to management any issues or delays that may directly impact patients quality of care and customer service.
• Willingly participates in continuing education and other applicable activities to maintain professional competence.
• Works collaboratively with other members of the department to cultivate a team approach focused at achieving the highest quality of patient care and staff cooperation.
• Performs other tasks as assigned by management.
• Flexible work schedule may be available per business needs.
Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by

Modern Healthcare

, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:
Magnet designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers
150 Top Places to Work in Healthcare by

Becker’s Hospital Review

, 2023
Top 10 Military Friendly Employer, Gold Designation, 2023
Top 10 Military Spouse Friendly Employer, 2023
Equal Opportunity Employer
It is the policy of Methodist Health System (MHS) to select, develop, and promote employees based on individual ability and job performance. It has been, and will continue to be, the policy of MHS to provide equal employment opportunity to all people in all aspects of employer-employee relations without discrimination because of race, color, religion, national origin, age, sex, sexual orientation, gender expression, disability, marital status, genetic information or ancestry. This policy affects decisions including, but not limited to, an employee’s compensation, benefits, terms and conditions of employment, opportunities for promotion, training, development, transfer all other privileges of employment. MHS is committed to maintain a working environment free of intimidation, workplace discrimination and harassment. Retaliation or attempted retaliatory behavior that occurs as a result of an employee’s exercise of their rights under this policy or any other statutorily protected right is strictly prohibited and will be grounds for disciplinary action.

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