Referral Representative

As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director.

JOB RESPONSIBILITIES:

Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.

Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.

Completes referral information for patients as requested by the Providers.

Maintains and updates referral resource binder.

Manages open referral orders by finding documents and follows up with all parties involved.

Assists with patient phone calls and questions.

Follows up with specialty clinics to coordinate patients medical information flow.

Maintains accurate and timely documentation.

Obtain prior authorization for specific testing.

All Health Linc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).Perform other duties as assigned.

REQUIRED QUALIFICATIONS:

Education/Training High school diploma or equivalent

Some college (not required but highly preferred)
Experience At least 1-2 years of experience in a medical administrative position

At least 1-2 years of experience in a customer service position

Skills/Job Requirement Strong organizational and time management skills

Strong customer service skills

Proven ability to work well in a team environment

Excellent verbal and written communication skills

Proven experience with basic medical terminology (not required but highly preferred)
Ability to follow Health Linc policies and procedures

Technology Skills Operate a multi-line phone system and other office equipment including printers, fax machines, etc.

Basic computer skills (Microsoft Office, EHR, online sources, etc.)DIRECT SUPERVISION:

N/AREQUIRED TRAINING:

All assigned Relias training