Referral Representative (51844)

DescriptionAs a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director.

JOB RESPONSIBILITIES:

Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.
Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.

Completes referral information for patients as requested by the Providers.
Maintains and updates referral resource binder.
Manages open referral orders by finding documents and follows up with all parties involved.
Assists with patient phone calls and questions.
Follows up with specialty clinics to coordinate patients medical information flow.
Maintains accurate and timely documentation.
Obtain prior authorization for specific testing.
All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
Perform other duties as assigned.

QualificationsREQUIRED QUALIFICATIONS:

Education/Training

High school diploma or equivalent
Some college (not required but highly preferred)

Experience

At least 1-2 years of experience in a medical administrative position
At least 1-2 years of experience in a customer service position

Skills/Job Requirement

Strong organizational and time management skills
Strong customer service skills
Proven ability to work well in a team environment
Excellent verbal and written communication skills
Proven experience with basic medical terminology (not required but highly preferred)
Ability to follow HealthLinc policies and procedures

Technology Skills

Operate a multi-line phone system and other office equipment including printers, fax machines, etc.
Basic computer skills (Microsoft Office, EHR, online sources, etc.)

DIRECT SUPERVISION:

N/A

REQUIRED TRAINING:

All assigned Relias training