Referral Specialist

Rockhill Orthopaedic Specialists
has been a pillar of musculoskeletal care in the Kansas City region for over 70 years, with an impressive tradition and commitment to not only providing exceptional healthcare services to our patients, but also an overall dedication to the well being of our community.

– This specialist completes referral forms and assists in scheduling appointments based on patient insurance requirements. This role works with multiple referring offices to obtain and document pre-certifications for imaging studies for multiple outpatient facilities. Interact with radiology technologist to assist in verifying orders, scheduling, and assisting with patient flow.

• Check eligibility, obtain insurance authorizations and referrals prior to patient appointment
• Obtain authorizations for CT, MRI, and physical therapy orders
• Obtain authorization, benefits and schedule injections
• Obtain authorization and benefits for DME’s
• Authorize and schedule STAT appointments
• Send therapy orders to requested facility
• Send referral and records to specialty physicians
• Follow up on CT and MRI appointments
• Work with clinic to obtain authorization by doing peer to peer
• Communicate verifications for coordinating authorization of scheduled tests or injections

– Must enjoy interacting with people, be able to relate well to a variety of personalities and have good verbal communication skills. Have a cheerful disposition with a calming affect when interacting on the telephone. A self‑motivated individual who can work well with interruptions, understands the need to be precise with information‑gathering tasks and is able to convey instructions effectively. Enjoys working with a team.

Typical Physical Demands – The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Must be able to use a variety of office equipment including copiers, printers, and fax machines.

Work Environment – Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. Ability to sit for prolonged periods of time and type on keyboard. Ability to adapt to rapidly changing environments while meeting our customer’s demands and deadlines.

Work Hours –This is an hourly part-time position, 20-28 hours per week; hours may vary.

Education – High School diploma or equivalent required.

Work Experience – Understanding of medical software, such as Epic, strongly preferred. Customer service experience required. Prior experience in a healthcare environment preferred.

Expectations and Responsibilities of All Employees:

• Philosophy
• Supports the facility’s ideology, mission, goals, and objectives
• Performs in accordance with the facility’s policies and procedures
• Follows the facility’s standards for ethical business conduct
• Conducts self as a positive role model and team member
• Recognizes patients’ rights and responsibilities and supports them in performance of job duties
• Respects patients’ rights to privacy, dignity, and confidentiality
• Actively participates in facility committees, meetings, in‑services, and activities.
• Demonstrates flexibility to perform other duties as assigned

• Communicates effectively and professionally with patients, visitors, physicians, and coworkers
• Interacts with others in a positive, respectful, and considerate manner
• Uses facility resources appropriately and avoids wasteful practices
• Maintains operations by following policies and procedures; reporting needed changes and wasteful practices
• Analyzes work area and makes recommendations for potential cost‑effective improvements