Referral Specialist

Referral Specialist – Mobile, AL

Annual Salary: $30,000–$35,000

The Referral Specialist serves all of the clinical staff and must navigate and negotiate successful tracking and coordination of referrals; it requires highly technical clerical tasks, specific to an area of work. The work includes responsibility for the preparation of specialized departmental documents; significant interpersonal staff and public contact, appropriate and professional conduct, independent judgment, discretion, and personal initiative; and use of Electronic Health Record (EHR) systems.

• Develop and maintain effective relationships with outside medical offices for patients needing specialty care.
• Serve as liaison to medical offices and hospitals.
• Ensure successful tracking and monitoring of referrals placed, follow up with patients and outside providers to ensure referral completion in EHR.
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Prioritize urgent referrals and follow entire process through to confirmed scheduled appointment.
• Communicate and coordinate referral requests with outside specialists.
• Re‑refer/re‑schedule patients if they do not make their original referred appointment.
• Request authorizations from patient’s insurance companies required by specialists.
• Request authorization extensions or adjustments as requested by specialists.
• Provide contact information to patients asking for specific details about their appointments.
• Answer, respond and document phone calls, requests, and questions from patients in a timely manner.
• Make notification phone calls to patients throughout the referral process.
• Document every step of the patient’s referral process in EHR system.
• Close the final loop in referral tracking and document patient completion in EHR.
• Communicate information via computer, phone, fax, and in writing to appropriate resources.
• Respond to in‑house provider questions, requests, and concerns regarding the status of patient referrals, care coordination or follow‑up status.

• Knowledgeable of sliding fee scale for qualifying patients and can counsel and educate patients.
• Assist with coverage of front desk as needed to handle patient needs.
• Assist with coding and review of records for billing purposes.
• Comply with Health Center’s policies and procedures.
• Demonstrate professionalism, patience, and a high level of interpersonal and communication skills with patients, staff, visitors, and outside organizations.
• Seek supervision and consultation as needed.
• Accept and employ suggestions for improvement.
• Actively work to enhance skills.
• Documents in a timely fashion per policy.
• Documents in a clear, legible, and concise manner.

• Treats consumers with care, dignity and respect.
• Respect patient privacy and confidentiality.
• Pleasant and cooperative with others.
• Promote a professional work atmosphere.

• Actively participate in AltaPointe committees as required.
• Accurately complete assigned tasks in a timely manner.
• Follows AltaPointe policies and procedures.

• High School graduate or equivalent.
• Proficiency in Excel.
• Ability to problem solve and carry out tasks independently.
• Preferred experience in medical practices to include outpatient best practices, FQHC, coding and billing.
• Proficient with computer applications including Microsoft Office Suite, EMR and medical billing software.
• Knowledge of HIPAA.

• Seniority level:
  Entry level
• Employment type:
  
  Full-time
• Job function:
  Health Care Provider
• Industry: Hospitals and Health Care