Referrals Specialist
Referrals Specialist
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Job Description
PRIMARY ACCOUNTABILITY
Provides business office support to the providers and patients of MAHEC Family Health Centers MAHEC OBGYN MAHEC Internal Medicine and MAHECs Center for Psychiatry and Mental Wellness. Primary duties include following up and tracking of outgoing external referrals in a timely manner as ordered by MAHEC providers. Reviewing patient electronic health records to determine the status of referrals obtain appropriate documentation on appointments and maintain open lines of communication between referrals team ordering providers and offices to which referrals are sent.
SPECIFIC RESPONSIBILITIES
- Daily Management of Referrals and Patient Appointment Follow Up
- Manage and prioritize follow up on outgoing referrals by processing outgoing referrals and monitoring the referral queue daily.
- Obtain prior authorizations as needed to complete the referral.
- Schedule appointments for tests procedures and consultations for specialty offices outside of MAHEC.
- Provide patient with appointment date time location and contact number for referral provider. Inform patient of specific instructions or preparations to follow in relation to the referral appointment
- Conduct follow up by reaching out to specialty offices to obtain referral status and facilitate receipt of accompanying documentation on specialty office appointments.
- Manage incoming calls from patients and clinicians in regards to all referral updates changes or confirmations.
- Ensure MAHEC providers receive appropriate documentation on outgoing referrals ordered.
- Enter updates in EHR on appointments for tests procedures and consultations for specialty offices outside of MAHEC.
- Maintain accurate records of contact attempts correspondence and referral processing and follow up activities in the EHR and other established tracking systems.
- Other duties as assigned by the Referrals Team Lead and Manager of Health Information Management and Referrals.
KEY COMPETENCIES:
COMMUNICATION You are comfortable communicating in person over the phone and through email all with a friendly and professional tone. You prioritize prompt responsiveness recognizing the important role you play in moving processes forward through communication.
DISCRETION You operate with the mindset that information that is not your own regardless of how trivial it may seem is confidential first and shared only with permission. You demonstrate confidentiality with clinical management and other organizational data/information.
PROBLEM SOLVING You arent afraid to think on your feet and encounter a problem you dont know how to immediately solve. You are less concerned with being right and more concerned about connecting with various resources to assist in solving the problem and learning new things along the way.
DETAIL ORIENTATION Details matter to you and you develop systems and processes to help you manage a large volume of them. You envision a process from start to finish and understand all of the details that need to be taken care of in between to keep things running smoothly. You take pride in owning the details and it brings you joy to be trusted in this regard.
INITIATIVE You dont wait to be told what to do. Instead you anticipate needs and look for tasks you can take care of in the present to facilitate a smooth process in the future. You like to stay busy and love to jump in and help others when you have capacity. You respect and appreciate the work of a leader and view taking initiative as a primary way to support their work.
TECH ADAPTABLE You are comfortable learning new technologies and web-based platforms. You view technology as a way to gain efficiencies. You recognize that you dont have to be an expert and view learning new technologies as an opportunity to grow professionally.
PLANNING AND ORGANIZING - You effectively organize and plan work according to organizational needs by defining objectives and anticipating needs and priorities. You efficiently manage your own time and effectively handle multiple demands and competing deadlines. You identify goals develop plans estimate time frames and monitor progress. Swift implementation is your goal.
ANALYSIS AND PROBLEM SOLVING - You like to solve difficult problems through careful and systematic evaluation of information possible alternatives and consequences. You integrate information from diverse sources and evaluate the information against possible courses of action.
This job description is a general description of the essential job functions and is not intended to describe all the duties a Referral Specialist may perform.
EDUCATION AND/OR EXPERIENCE:
High School Diploma or equivalent at least (2) years of relevant experience in a medical office or hospital setting or a comparable equivalent of combined education and experience required. Strongly prefer individual with working knowledge of medical terminology referral or scheduling experience and/or experience working with major health insurance carriers. Fluency in Spanish also a plus. Prior call center experience helpful but not required.
COMPUTER SKILLS:
Basic typing Microsoft Office Suite (Outlook Excel Word PPT) and data entry required. Allscripts EHR experience preferred.
COMMUNICATION SKILLS:
Strong verbal oral and written communication skills including collaborative professional and courteous interactions with patients and staff required.
FOREIGN LANGUAGE SKILLS:
Spanish bilingual strongly preferred
PHYSICAL DEMANDS:
Sedentary position. Sometimes includes standing walking stooping or kneeling reaching with arms and hands hearing and a repetitive motion of hands wrists and fingers.
WORK ENVIRONMENT:
Typical fast paced office environment with computers monitors printers email patient messages through EHR system and phone calls.
ADDITIONAL INFORMATION:
- Must actively support MAHECs work philosophy and continuous quality improvement activities. Must be a team player while also working independently. Must be able to work collaboratively with all individuals with whom contact is made with on a daily basis.
- Must demonstrate appropriate patient centered service approach during all interactions with patients and providers.
- Must have a good understanding of medical terminology.
- Must demonstrate appropriate judgement in handling daily workload decisions. Requires the ability to appropriately and professionally handle multiple competing priorities and work effectively under pressure.
- Must demonstrate discretion in dealing with medical financial and personal information as it relates to the position.
REPORTING RELATIONSHIP:
Reports to the Manager of Health Information Management and Referrals.
POSITION COMPENSATION:
$22.31/hour full time with full benefits
At MAHEC we strive to equip all team members with Total Rewards (pay benefits) to honor their service support their health manage their financial security build their career and thrive.
All MAHEC employees and learners will be required to receive the Flu vaccine or have an approved exemption.
MAHEC Talent Management is located at 121 Hendersonville Road Asheville NC 28803. Equal Opportunity Employer.
If you are interested in this role and you have related experience and qualifications we encourage you to apply or reach out to for support in your job search process. You could be the talent we are seeking for this or other opportunities.
Required Experience:
Unclear Seniority
Employment Type
Full-Time
