Referral Specialist

Summary:

The Referral Specialist reports to the Practice Manager. Under the general supervision coordinates the effective and efficient patient flow in regards to scheduling appointments with specialist and testing per physician request. Obtains proper insurance authorization prior to scheduling appointment and once completed contacts patient with pertinent information and ensures that all required information is forwarded to specialist office following practice protocols. Follows patient*s status within the cycle of provider care to ensure continuity of services utilizing LifeChart referral work ques.

Responsibilities:

chedule/coordinate/triage all referrals created by and sent to the practice via Lifechart work ques. Sets follow-up alarms per practice protocols and the tracking function to ensure that all outstanding referrals are followed-up on. Obtains all un-resulted consults and testing orders managed by the referral office. Alerts the ordering provider of any patient that does not keep an appointment with a specialist or testing facility.

Scans into the medical record all correspondence received on patients and ensures that they are correctly labeled and forwarded to the proper ordering provider for their review.

Takes messages from the referral line/fax machine create a referral in Lifechart and forwards the information to the PCP for approval prior to sending referrals to specialist or testing facility in accordance with practice policy. Contacts patients and instructs them with not only information about the appointment but provides them with any specific instructions prior to their appointment.

Maintains current knowledge of insurer referral/authorization requirements and have a working understanding of the patient population and demonstrate cultural awareness and sensitivity.

Acts as a resource to practice team members regarding referral issues.

Participates in practice performance and quality improvement activities. Attends required meetings and trainings as directed.

Performs other related duties appropriate to training and experience as assigned by physician practice manager.

Knowledge of front office operations in addition to clinical knowledge for triaging referrals and determine when the patient need to be seen.

Other information:

BASIC KNOWLEDGE:

High school degree or the equivalent.

Billing and medical knowledge.

EXPERIENCE:

Two years of clinical referral experience required.

Patient Centered Medical Home Practice (PCMH) referral experience preferred.

Data entry skills and computer experience required.

Strong customer service focus.

Effective verbal and written communication skills.

Organized and able to manage competing priorities.

Able to take and follow through with delegated tasks and accountability.

Demonstrated knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes human development stages and cultural patterns in each step of the care process.

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Brown Health Medical Group USA:RI:Providence

Work Type: Full Time

Shift: Shift 1

Union: Non-Union

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