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 and admission to the Partial Hospital Program. Obtains proper insurance information prior to scheduling appointment and once completed contacts patient with pertinent information and ensures that all required information is forwarded to the office following practice protocols. Follows patient's status within the referral process to ensure that the patient is contacted in a timely manner.

Responsibilities:

Schedule/coordinate/triage all referrals created by and sent to the practice via Lifechart work ques. Maintains the referral log to ensure that all outstanding referrals are followed-up on and documents communication in patient chart. Alerts the referring provider of any patient that does refuses treatment or cannot be contacted.

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, adds the referral to the referral log and reviews the chart for appropriateness to the program with the director when there is question. 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.

Performs other duties as assigned.

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 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