Referral Specialist

Job Description

Job Description

Description : We are seeking a highly organized New Patient Referral Specialist with a strong commitment to patient care. The New Patient Referral Specialist is responsible for managing the intake and referral process for new patients. The ideal candidate will excel in providing exceptional customer service while efficiently handling inbound and outbound referrals, verifying patient eligibility, coordinating medical and administrative staff, and ensuring a seamless experience for new patients. This role plays a crucial part in ensuring seamless patient care and satisfaction.

Our Culture : Inspire hope. Build your legacy. Discover a rewarding, fulfilling, well-balanced career at Florida Digestive Health Specialist, LLP. With providers and locations across Florida, FDHS is one of the largest single-specialty, physician-owned GI practices in the state. FDHS was established in 2011 to provide comprehensive, high-quality gastroenterology services and foster advanced research for digestive health problems. With a growing team of nationally acclaimed care centers, providers, and staff, we continue to expand our reach to communities that need our care. As we continue to grow, we are seeking a New Patient Referral Specialist to join our team and support our mission.

Essential Duties :

• Receive, review, and process new patient referrals from healthcare providers and other referral sources.
• Communicate with referring providers to obtain complete and accurate referral documentation.
• Enter patient referral information into the EMR system and ensure all necessary data is recorded.
• Schedule NP appointments.
• Contact review organizations and insurance companies to ensure prior approval requirements are met and enter copays and insurance information into eCW.
• Check for and obtain authorizations before scheduling appointments.
• Contact insurance companies to verify patient plans and coverage options.
• Gather information concerning patient’s clinical background and referral needs.
• Review details and expectations about the referral with patients.
• Answer phone calls and speak with new patients about appointment openings, cancellations, and referrals.
• Perform NP referrals through P2P for MIPS.
• Comply with HIPPA and other privacy regulations to ensure the confidentiality of patient information.
• Assist with other administrative tasks as assigned by management.
• Other duties as assigned. Please note that the duties and responsibilities outlined in this job description are not exhaustive and may be subject to change at any time to meet the evolving needs of the company. In addition to the responsibilities listed above, employees may be required to perform additional tasks or duties as assigned by management.

Qualifications :

EEO Statement :

It is the policy of Florida Digestive Health Specialists to provide equal employment opportunities without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, genetic information or any other protected characteristic under applicable law.

When you join FDHS, you become part of a premier team striving to deliver unparalleled, personalized care while treating patients like family. And at FDHS, our patients are at the heart of everything we do. Join our team at FDHS and make a difference in the lives of our patients and employees alike!