POSITION TITLE : REFERRALS
FLSA : NON - EXEMPT
Job Summary :
The Referrals Specialist coordinates and processes patient referrals, ensuring accurate documentation, insurance approvals, and timely follow-up. They work with patients, staff, and external providers to ensure access to care while maintaining compliance. The specialist also keeps detailed records and guides patients on next steps. Supervisory Responsibilities :
Duties / Responsibilities :
Process patient referrals to internal and external specialists and services, ensuring timely and accurate submission of required documentation and insurance authorizations.Coordinate client referrals and communicate with outside agencies and providers to facilitate appointments and services.Track referral statuses and follow up with providers, patients, and external offices as needed to ensure timely completion.Maintain accurate and up-to-date referral records in both manual systems and the electronic health record (EHR) system.Instruct patients on referral procedures, providing clear information about timelines, required documentation, and follow-up actions.Collaborate with clinical and administrative staff to address referral-related inquiries and meet patient needs promptly.Identify and report issues in the referral process to the supervisor for corrective action.Ensure compliance with federal, state, and organizational policies related to referrals, including HIPAA privacy standards.Stay informed about changes in insurance policies, referral requirements, and provider networks to ensure smooth coordination.Assist with general office tasks, such as preparing reports on referral metrics, organizing documentation, and supporting team operations.Perform additional tasks as needed to support the centers.Required Skills / Abilities :
Excellent verbal and written communication skills.Excellent interpersonal and customer service skills.Excellent organizational skills and attention to detail.Excellent time management skills with a proven ability to meet deadlines.Strong analytical and problem-solving skills.Ability to prioritize tasks and to delegate them when appropriate.Ability to function well in a high-paced and at times stressful environment.Must be able to effectively manage workflow and maintain high-quality standards in environments where staffing levels may be below ideal, demonstrating the ability to prioritize tasks and collaborate with the team under pressure.Ability to use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.Proficient with Microsoft Office Suite, Electronic Medical Records (EMR) and related software.Education and Experience :
High School Diploma or equivalent is required.Physical Requirements :
Prolonged periods of sitting at a desk and working on a computer.Must be able to lift up to 15 pounds at times.Must be able to travel to various center locations as required.Job Posted by ApplicantPro