Referral Specialist

Description

The Referral Specialist is responsible for processing, follow up and communication to patients regarding referrals that are generated by internal or external providers. This position will work with pre-cert for authorizations for patient services. This position is responsible for maintaining knowledge of insurance coverage’s, documentation of authorizations, and communicates the status of referrals to the clinical staff.

 Referral Specialist Roles & Responsibilities:

• Establish effective communication systems and mutually beneficial relationships with external and internal suppliers and partners
• Create and maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
• Ensure complete and accurate registration, including patient demographic and current insurance information
• Assemble complete information concerning patient’s clinical background and referral needs.
• Per referral guidelines, provide appropriate clinical information to specialist.

Required Skills & Qualifications:

• 2 years Healthcare Medical Receptionist/Information Clerk required.)
• Two years of related clinical experience required, preferably in ambulatory care, community public health, case or care management, or coordinating care across multiple settings and with multiple providers.
• Two years of experience in information systems with scheduling and resource management emphasis, highly desirable.
• 3 years of related experience, preferably in patient access, scheduling or pre-registration.
• Ability to understand basic clinical terminology and medical insurance terminology across multiple clinic specialties and with multiple providers.

• Medical, Dental, and Vision Insurance within first 31 days of employment
• Programs to reduce share of deductible and total out-of-pocket expenses
• Metro Health Incentive Program - Access to high quality healthcare without incurring out-of-pocket expenses (see NGH providers without co-pays)
• Short and Long-Term Disability - up to 60% of eligible weekly pay
• Life Insurance - Metro provides you with basic life and AD&D coverage equal to $50,000 ($32,500 if you are age 65 or older), at no cost to you.
• Retirement Plan - eligible up to IRS max limits and includes company contribution
• Shift and Weekend Differential Pay Offered on Nights and Weekends
• Tuition Reimbursement for employee and dependents
• 12 paid holidays - any holiday worked is another holiday banked
• Flexible Spending Accounts
• Onsite Gym
• Free Parking for all employees

We are an E-Verify employer.

For more information, please click on the following links:
E-Verify Participation Poster: English | Spanish
E-Verify Right to Work Poster: English | Spanish