Referral Specialist

Campus

OSU-Center for Health Sciences

Jeffrey Kellerman, jeff.kellerman

Monday through Friday, 8:00am-5:00pm

Regular Continuous/Until Further Notice

$16.00 - $18.00

While applications will be accepted until a successful candidate has been hired, interested parties are encouraged to submit their materials by to ensure full consideration.

For full consideration, please include a resume, cover letter and contact information for three professional references.

The referral specialist will review, analyze and document all referral requests, obtain appropriate authorizations for all plans (UHC Navigate, Global Health, Medicaid/Soonercare, Triwest, etc) and process from referrals once patient is seen by OSU provider.

• Essential Functions and Responsibilities:
  Daily queue accessed and analyzed to prioritize work to achieve optimal care for patients

• Includes research of referral to determine if all documentation is included necessary to process request and to assist in obtaining authorization if required

• Departmental protocols to be followed to ensure consistency in documentation in Epic as well as any communication to ensure completion

• Works with team to ensure daily coverage

• Communication with staff, offices, and diagnostic locations to ensure referral received and /or appointment date and time is arranged and documenting in patient’s referral

• Responsible to locate specialty physicians and maintain desktop reference information relating to assigned specialty to serve as knowledgeable resource

• Answer telephone calls on OSU Referral line and OSU Care Line

• Determine match for patient based on geographic area, insurance and presenting medical problem(s) to facilitate patient care

• Also serve as contact point for OSU office staff with 'same day' referral questions and inquiries about patient referral status

• All staff share Referral log that includes providers office outside EMR system and are responsible to be knowledgeable of resources

• Ensure that questions, potential delays and changes are brought to the attention of supervisor and/or manager for support and update of information to facilitate processing of referrals

• Decision Making:
  The carrying out of non-routine procedures under changing conditions, in conformance with general instructions from supervisor

• Working Relationships:
  Works directly with providers and staff

• Works with internal customers via EMR and telephone

• Works with other healthcare professionals and staff

• High School/GED (degree must be conferred on or before agreed upon start date)

• Six (6) months of Referral experience.

Certifications, Registrations, and/or Licenses:

Valid Oklahoma Driver's License.

Skills, Proficiencies, and/or Knowledge:

Leadership, communication, customer service, multi-tasking, team work, detail orientated, and computer skills are necessary for this position.

• Vocational/Technical Healthcare/Business Administration.

Certifications, Registrations, and/or Licenses:

Skills, Proficiencies, and/or Knowledge:

Leadership, communication, customer service, multi-tasking, team work, detail orientated, and computer skills are necessary for this position.