Referral Specialist - Physician Practice

Referral Specialist - Physician Practice Support - FT DAYS

Sky Lakes Medical Center

• Seniority level:
  Entry level
• Employment type:
  
  Full-time
• Job function:
  Health Care Provider
• Industries:
  Hospitals and Health Care

• Required:
  
  Must be able to perform each essential job function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Preferred:
  Experience processing patient referrals and obtaining insurance authorizations, including knowledge of ICD‑10, CPT codes. Experience using electronic medical record system (Epic Information Systems Cadence/Referrals).

Must sit or stand, walk, and reach. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required include close vision, ability to adjust focus, and view a computer monitor throughout the shift. The employee must be clear thinking and able to focus on work tasks amidst open office distractions and competing priorities.

• Is consistently at work and on time, as established.
• Prioritizes referrals by urgency and addresses them in a timely manner. Uses time efficiently.
• Ensures complete demographic, insurance information and appropriate/pertaining clinical information is sent to referred servicing providers.
• Contacts insurance companies to ensure prior authorization requirements are met. Presents necessary medical information to insurance companies to prove medical necessity of request.
• Researches and locates out‑of‑area specialists as needed for referrals.
• Able to work additional hours when necessary to reach goals.
• Communications – Speaks clearly and professionally in positive or negative situations; listens and gets clarification; responds well to questions and feedback; participates in meetings; edits work for spelling and grammar; keeps others adequately informed; selects and uses appropriate communication methods.
• Keeps abreast of current developments; requires minimal supervision; displays understanding of how job relates to others; maintains confidentiality per policy and regulations.
• Fluent in Word, Excel, and Outlook as well as job‑related software and computers; uses available resources effectively; adapts to new technologies; keeps technical skills up to date.
• Demonstrates competence in relation to the defined mission, vision, values, and strategic plan of the organization. Apparent by ongoing completion of any or all of the following: proficiency testing, skill demonstration, practice of core standards for service excellence, and documentation review.

• Performs other duties as assigned.

Referrals increase your chances of interviewing at Sky Lakes Medical Center by 2x.