Referral Representative
Referral Representative
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Job Description
What Makes Us Different
At FMOLHS we offer you so much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As a Catholic hospital we are here to create a spirit of healing. We offer you something special - the chance to do Gods work by helping to serve people in need throughout our community every day.
Job Summary
Primarily responsible for processing referrals from practice providers to specialists hospitals and diagnostic centers ensuring that the facility and insurance provider requirements are met to ensure patients obtain required services in the appropriate setting. Also responsible for accurately validating patient information verification of insurance coverage and ensuring the patients experience is best in class.
Minimum Requirements
Education:High School or equivalent
Skills:Strong organizational skills; professional demeanor excellent customer service skills ability to multi-task critical thinking demonstrated computer literacy ability to learn and demonstrate proficiency in Epic during the introductory period.
Apply now! Here you are more than an employee. You are a team member a co-worker our friend and part of our family. Our healthcare team is working together to heal this community one patient at a time!
Responsibilities
- Patient Access - Referrals Processes
- Accurately and efficiently processes referrals to specialists hospitals and diagnostic centers in accordance with physician orders processing referrals in a timely manner for required services in the most appropriate setting; coordinates the referrals with insurance providers so that financial liability to the patient is minimized.
- Works closely with physicians nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner.
- Obtains/scans outside clinic records after appointment to assure continuity of care.
- Clinic Operations & Patient Flow
- Actively supports clinic practice hospital and health system initiative related to improvement in the day-to-day operations.
- Assists patients with access to government and community resources to enhance their access to health care services.
- Performance Excellence
- Actively supports the organizations performance excellence initiatives including Lean Six Sigma.
- Performs duties in a manner that results in improved patient outcomes and patient satisfaction.
- Actively supports the organizations Culture of Excellence utilizing initiative to make suggestions that would improve the patients experience and the environment of care.
- Other Duties As Assigned
- Performs other duties as assigned or requested.
- Provides quality training and orientation for assigned employees.
Qualifications
High School or equivalent
Strong organizational skills; professional demeanor excellent customer service skills ability to multi-task critical thinking demonstrated computer literacy ability to learn and demonstrate proficiency in Epic during the introductory period.
Required Experience:
Unclear Seniority
Employment Type
Full Time
