Referral Specialist (Part-time, Variable)

Job Title: Referral Specialist (Hybrid)

Department: Sands Constellation Heart and Vascular Institute

Location: 30 Hagen Drive Suite 100 Rochester NY 14625

Hours Per Week: 20 Part-time

Schedule: Monday-Friday 4 hours between 7a-6p

Summary

This position is responsible for scheduling and obtaining authorization/pre-certifications for but not limited to MRI CT Neurology Pain Management and other specialized testing as well as referrals to other MD Specialists and for detailing all patient and third-party interaction in the patients EMR. Promotes and provides customer satisfaction and appropriateness of care for all assigned patients.

Responsibilities

• Greets all patients whether in person or via the telephone with a cheerful and helpful attitude.

• Provides coordination of testing to be performed with physician patient facility and payer. This includes reviewing medical documents for clarity ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval.

• Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing.

• Refers self-pay and out-of-network patients to the appropriate resource to help with payment.

• Complete pre-certification/authorization with the patients insurance company providing any necessary documentation.

• Document authorization/pre-certification once received along with contact information of the person spoken with.

• Contacts the patient and notifies them of the scheduled procedure and all necessary instructions.

• Coordinates with the hospital or facility the arrival times of each scheduled patient and contacts them with this information.

• Assists in reviewing and revising policies and procedures pertaining to scheduling function.

• Performs other responsibilities as necessary to ensure efficiency within the practice.

• Maintains operational knowledge of department equipment: telephones computers faxes copier printers etc.

Required Qualifications:

• High school diploma or GED required.

Preferred Qualifications

• Associate of Applied Science (AAS) degree or related field.

• Knowledge of medical terminology.

• Knowledge of orthopedic terminology (highly preferred).

• Previous healthcare medical office scheduling registration or patient access experience.

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employees physician or delegate will be considered for accommodations.

PAY RANGE:

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience relevant qualifications specialty internal equity location and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color creed religion sex (including pregnancy childbirth and related medical conditions) sexual orientation gender identity or expression national origin age disability predisposing genetic characteristics marital or familial status military or veteran status citizenship or immigration status or any other characteristic protected by federal state or local law.