Referral Specialist

Job Location:

Madison Cooper Administration
- Waco, TX 76707, Position Type:
Full Time, Education Level: High School,

Travel Percentage :
None,

Job Shift: Day, Job Category:
Admin
- Clerical

• Initiates and manages all components of clinical referrals for various services
• Coordinates flow of information between medical clinic and referral authorization department to secure valid referrals timely for clinic patient
• Schedules and notifies patients of all applicable appointments
• Verifies insurance coverage and obtains authorizations, if needed, from insurance plans
• Notifies registration staff to update insurance coverage as needed
• Maintains proper documentation and management of the pre-authorization/referral information (faxing, scanning, etc.)
• Documents clear information in Referral Notes on any transactions pertaining to referral or authorization processes using correct spelling and grammar skills
• Learns and implements all policies and protocols as directed
• Keeps informed of changes and updates for insurance plan policies for Authorizations and Referrals
• Complies with all regulations related to patient confidentiality
• Able to manage multiple priorities and manage stress appropriately
• Communicates appropriately and clearly with a pleasant and professional manner to all
• Demonstrates excellent judgment in handling situations not covered by written or verbal instructions
• Demonstrates a commitment to the mission, core values, and goals of Family Health Center and its healthcare delivery including the ability to deliver exceptional patient focus with quality, compassion and respect

• Cover duties of co-workers as needed
• Other duties as assigned

• Visual and auditory accuracy
• Shift length – 8 hours
• Indoor setting
• Continuous use of computer and calculator
• Long periods of sitting
• Frequent use of telephone
• Continuous repetitive grasping and manipulation of both hands
• Continuous conversational communication
• Occasional lifting and carrying of up to 10 lbs.
• Occasional standing, reaching, walking, bending, and twisting
• Infrequent use of personal transportation
• Occasionally working in noisy, confined areas
• Understand/carry out simple/detailed, oral/written instructions
• Memorize and retain instructions
• Read and interpret detailed specifications

Education:

High school diploma or equivalent required, College Hours and/or Referral/Authorization Experience preferred, Bilingual in Spanish and English helpful

Director of Billing Services

• Computer literacy, Excel, Medical Terminology, Knowledge of ICD-10/CPT coding, Medical office billing and collection practices, Federal/state/local financial assistance programs, Strong interpersonal, oral and written communication, Excellent telephone skills and strong customer service focus