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 with specialist and testing per physician request. Obtains proper insurance authorization prior to scheduling appointment and once completed contacts patient with pertinent information and ensures that all required information is forwarded to specialist office following practice protocols.

Follows patient's status within the cycle of provider care to ensure continuity of services utilizing Life Chart referral work ques.
Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

• Schedule/coordinate/triage all referrals created by and sent to the practice via Life Chart work ques. Sets follow-up alarms per practice protocols and the tracking function to ensure that all outstanding referrals are followed‑up on.
• Obtain all un‑resulted consults and testing orders managed by the referral office. Alerts the ordering provider of any patient that does not keep an appointment with a specialist or testing facility.
• Scan into the medical record all correspondence received on patients and ensure that they are correctly labeled and forwarded to the proper ordering provider for review.
• Take messages from the referral line/fax machine, create a referral in Life Chart and forward the information to the PCP for approval prior to sending referrals to specialist or testing facility in accordance with practice policy.
• Contact patients and provide instructions for their appointment, including any specific pre‑appointment instructions.
• Maintain current knowledge of insurer referral/authorization requirements and have a working understanding of the patient population and demonstrate cultural awareness and sensitivity.
• Act as a resource to practice team members regarding referral issues.
• Participate in practice performance and quality improvement activities. Attend required meetings and trainings as directed.
• Perform other related duties as assigned by the physician practice manager.
• Show knowledge of front office operations in addition to clinical knowledge for triaging referrals and determining when the patient needs to be seen.

• High school degree or the equivalent.
• Billing and medical knowledge.
• 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.

Pay Range: $18.66-$30.77

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 – 167 Point Street Providence, Rhode Island 02903

Work Type: Monday-Friday, 8am‑4:30pm

Work Shift: Day

Daily

Hours:

8 hours

Driving

Required:

No