Job Details
Job Location: CHC Bourne - Bourne, MA
Salary Range: Undisclosed
Description
Referral Specialist is responsible for coordinating and processing of referrals, pre-certifications, and authorizations for internal and external referrals for health center patients with the objective of ensuring timely, streamlined and efficient referral practices. Acts as a resource for teams, staff, and patients by maintaining current knowledge of insurance requirements and communication of those requirements to teams staff and patients.
RESPONSIBILITIES INCLUDE:
Responsible for coordination, implementation, generation and authorization of referrals to outside providers, specialists and other agencies with attention to patients insurance.
Obtains appropriate authorizations from insurance company and documents authorization on referral and in EMR.
Responsible for directing progress notes, labs, and xrays to specialists as required for completing referral.
Review details and expectations about the referral with patients.
Serves as point of contact and resource to patients, team and staff.
Process and call all stat referrals for team.
Responsible for documentation of all processed referrals in EMR.
Serve as a phone liason for patients outside providers, specialists and other agencies regarding referrals.
Ensures that all referrals are done accurately and within a timely manner
Qualifications
