Referral Specialist

Summary

The Referral Specialist will be responsible for a wide range of administrative duties to include referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, program communication to potential candidates, communication with referral sources.

• Responsible for the tracking, coordination and communication of patient referrals
• Ensures complete and accurate patient registration, including demographics and current insurance information
• Handles requests from third party referral sources and provides relevant information and data
• Serves as point person for multidisciplinary evaluation process to include patient scheduling, third party communications, and internal communications
• Assembles information concerning patient’s clinical background and referral needs
• Contacts insurance companies to ensure verification of benefits and prior authorization approval requirements are met
• Reviews details and expectation of referral with the potential patient
• Assists patients in problem solving potential issues related financial or social barriers (e.g., request interpreters as appropriate, transportation services, etc.)
• Ensures that referrals are addressed in a timely manner
• Reminds patients of scheduled appointment
• Communication with referral sources to ensure patient information/ registration is complete
• Communicates patient updates between program and referring source
• Travels as necessary to other facilities

• Effective verbal and written communication skills
• Teamwork orientation
• Organized and able to manage multiple priorities
• Strong computer skills with proficiency in Microsoft Office, including Outlook, Excel, Word & eCW
• Ability to maintain effective and organized systems to ensure timely patient flow

• High School diploma or its equivalent

• 3 Medical Plans
• 2 Vision Plans
• Employee Assistant Program
• Short- and Long-Term Disability Insurance
• 401(k) with a 2-year vesting
• PTO + Holidays