Description

Are you passionate about ensuring patients receive the specialty services they need? We are seeking a dedicated Referral Specialist to join our team under the supervision of the Patient Services Supervisor. As a Referral Specialist, you will play a vital role in facilitating specialty service visits for our patients and ensuring compliance with Patient Centered Medical Home requirements.

Key Responsibilities:

• Monitor electronic referral boxes in the EMR and Faxcom systems to capture referral requests promptly.

• Prepare and process all referral and pre-authorization paperwork efficiently.

• Gather necessary information from the clinical team or EMR to complete referral/pre-authorization requests accurately.

• Liaise with various clinics, facilities, and companies to obtain information required for referral/pre-authorization.

• Utilize third-party payer/insurance portals effectively, demonstrating detailed knowledge of authorization approval processes.

• Provide timely updates to patients and healthcare providers regarding referral status.

• Schedule specialty appointments directly for patients when necessary.

• Document all pertinent information accurately using EMR functions.

• Organize and prioritize workload effectively to meet deadlines.

• Maintain strict confidentiality in accordance with HIPAA regulations.

• Collaborate with other clinic Referral Specialists, clinicians, and support staff to ensure seamless patient care.

Hours 8am to 5:30pm

* MUST BE BLINGIUAL IN SPANISH / ENGLISH *

Requirements

• High school diploma or equivalent; associate or bachelor's degree preferred.

• Previous experience in a healthcare setting, preferably in a referral coordination role.

• Proficiency in using electronic medical record (EMR) systems and fax communication.

• Strong organizational skills and attention to detail.

• Excellent interpersonal and communication skills.

• Ability to work independently and as part of a team.

• Commitment to maintaining patient confidentiality and adhering to HIPAA regulations.

• Enthusiastic, caring, and compassionate approach to patient care.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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