Medical Referrals Specialist
2 months ago
The Referral Specialist reviews inbound referrals and schedules new patients. The specialist must thoroughly understand and comprehend retinal diagnoses, and appropriately differentiate between emergent and non-emergent referrals. Utilize a high level of customer service skills and phone etiquette to create a positive rapport in providing professional, empathetic and efficient service to our referring providers and patients.
DUTIES AND RESPONSIBILITIES:
- Ensures complete and accurate demographic, insurance and appropriate clinical information is received and processed.
- Appropriately schedule referred patients in a timely manner, based on diagnosis and urgency of the referral; follows inbound referral procedures.
- Answer patient and provider questions.
- Facilitate internal communication on multiple platforms to ensure an efficient appointment flow.
- Answer incoming calls and assist with inquiries.
- Schedule patient appointments.
- Provide all appropriate information to patients in preparation for appointment: patient intake forms, financial obligations.
- Monitor, follow up and accurately document patient and referring provider communication.
- Have a strong understanding of medical insurance policies and any additional requirements according to the plan (ex: referral/authorization requirements).
- Perform all duties within HIPAA regulations; maintain confidentiality of all doctor, staff, and patient information.
- Additional duties as assigned.
SPECIAL SKILLS, KNOWLEDGE AND ABILITIES:
- Strong interpersonal customer service skills, including effective listening, clear verbal and written communication, problem solving skills.
- Demonstrate reliability, a pleasant attitude, and a willingness to perform the duties as required.
- Reliable transportation to travel to work location.
- Master multiple software systems to input and retrieve data.
- Master ophthalmology and retina terminology.
- Multi-talk and work well independently and in a team environment.
- Perform accurately and efficiently.
- Operate computer devices, scanners and fax machines.
- Frequent use of computer terminal to read and write.
- Frequent bending, reaching, sitting, repetitive hand movements, standing, walking, squatting, pushing, and pulling.
- Lifting up to 10lbs.
MINIMUM QUALIFICATIONS:
- High School Diploma or Equivalent.
- Previous experience in a medical practice preferred.
- Bilingual – Spanish preferred.
ADDITIONAL DETAILS
- Non - exempt position, eligible for overtime.
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