Healthcare Referral Specialist
7 days ago
Salinas Valley Health Clinics, a leading healthcare organization in the region, is seeking an experienced Healthcare Referral Specialist to join its dynamic team. This role is crucial in facilitating seamless patient referrals and ensuring exceptional customer service.
Salary Range: $45,000 - $60,000 per annum
Job DescriptionThe primary responsibility of this position is to coordinate patient referrals, communicate effectively with clinic managers and referring providers, and maintain accurate documentation. The ideal candidate should possess excellent organizational skills, ability to manage a demanding workload, and strong communication skills.
- Responsible for completing incoming and outgoing referrals as assigned.
- Maintain ongoing tracking and appropriate documentation on referral status.
- Escalate routine referral delays beyond 14 business days.
- Gather information on patients' clinical backgrounds and referral needs.
- Familiarity with ICD-10 and CPT codes.
- Contact insurance companies to ensure prior authorization needs are met.
- Navigate system and act as point of contact for patients with outstanding referrals.
- Contact external offices to confirm referral receipt and obtain appointment details.
- Ensure patient charts are up-to-date with demographics, insurance information, and specialist consults.
- Scan patient visit documentation into electronic health records (EHR).
To succeed in this role, the individual must be able to perform each essential duty satisfactorily. A high school diploma or equivalent is required, along with at least three months of related experience in a healthcare setting, customer service, or a similar field. Some knowledge of medical terminology and insurance processes is also necessary.
A preference may be given to candidates who are bilingual, particularly during peak shifts.
This role has no supervisory responsibilities.
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