Referral Specialist - WMG FRKLN NEURO - Full Time - Mon-Fri 8am-5pm

This position is responsible for referral operations at assigned clinics, establishing and standardizing systems and procedures for the distribution and use of health information throughout the organization, coordinating and referral functions with all other departments.

Position Requirements

• High school diploma or general education degree (GED) and two years of related experience
• At least two-years medical office experience
• Excellent customer services skills
• Prefers medical terminology
• Competent in the use of computers, printers, facsimile machines, copy machines, business phones, document scanners and other office equipment and supplies.
• Office environment.
• Must be able to sit, stand, communicate in English, both verbally and in written form, squat, reach overhead, and operate a computer/keyboard and heard instruction as appropriate.

Key Results

• Ensures current and standardized referral policies and workflows
• Prioritizes referrals by their urgency and addresses them in a timely manner
• Participates in the selection, orientation and training of referral personnel
• Ensures complete demographic, insurance information and appropriate/pertaining clinical information is sent to referred specialists
• Follows all processes and policies in place for closing the referral loop
• Presents necessary medical information such as, history diagnosis and prognosis to insurance companies if deemed necessary to prove medical necessity of services
• Reviews details and expectations about the referral with both ordering providers and patients
• Requests new referral to be ordered when applicable
• Develops and implements systems as required by EMR functionality and/or regulatory agencies
• Identifies and utilizes community resources; establishes relationships with servicing providers and personnel
• Point of contact for patients and specialists for any questions or rising concerns
• Performs other related duties assigned by coordinator or practice manager