Oncology Referral Specialist

Rochester General Hospital; United States; On-site; USD 29,000 - 36,000; Full time

Job summary

Rochester General Hospital in Potsdam, NY seeks an Oncology Referral Specialist to act as the first contact for patients, families, and referral sources. You will coordinate with health-system processes to ensure timely evaluation and referrals, tracking all referrals and obtaining necessary authorization.

The role focuses on patient-centered referral management, with responsibilities for screening, intake, and ensuring patients are seen promptly by the cancer center team.

Qualifications

• 3 years of experience in a health care setting.
• Strong communication and interpersonal skills.
• Ability to work in a multidisciplinary team and in a fast-paced environment.

Responsibilities

• Provide telephone and in person screening and initial contact with referral sources and potential patients.
• Coordinate the intake and referral process, determine priority needs for assessment.
• Coordinate testing with physician, patient, facility and payer; obtain third-party approval.
• Obtain procedure and diagnosis codes to properly authorize/pre-certify testing.
• Complete pre-certification/authorization with the patient's insurance company providing any necessary documentation.
• Notify patients of the scheduled procedures and instructions.
• Monitor attendance of referred appointments and follow-ups.

Skills

Excellent communication

Education

Associate's Degree in a related field

HS diploma or equivalent

Job description

Job Title: Oncology Referral Specialist

Department: Oncology

Location: 50 Leroy Street, Potsdam, NY 13676

Hours Per Week: 37.5

Schedule: Day Shift 8-4pm (Monday-Friday)

SUMMARY

The Oncology Referral Specialist will act as an initial contact for patients, family, community members, and referral sources for cancer center patients or patients at a high risk for cancer. Coordinate with administration systems, processes and procedures in the health system to ensure appropriate evaluation, care and referrals. The referral specialist will focus on patient centered referral process at the cancer center by following all active referrals and ensuring patients are seen in a timely fashion. The specialist will be responsible to process, track and obtain authorization for all incoming and outgoing referrals.

Responsibilities:

• Provide telephone and in person screening and initial contact with referral sources and potential patients.
• Coordinates the intake and referral process, determines priority needs for assessment
• 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 patient's insurance company providing any necessary documentation.
• Document authorization/pre-certification once received along with contact information of the person spoken with.
• Contacts the patients and notifies them of the scheduled procedure and all necessary instructions.
• Actively monitor the attendance of and follow-up of referred appointments
• Monitor statistics and volume of patients testing and physician appointments
• Other duties as assigned

Desired Attributes:

• Associate's Degree in a related field
• HS diploma or equivalent
• Excellent communication and interpersonal skills
• Ability to Undertake a variety of diverse tasks and work in a multidisciplinary team.
• Ability to think and work independently and with direction, and communicate with staff members in a fast- paced environment.

Minimum Qualifications:

• Required - 3 years of experience in a health care setting.

Required Licensure/Certification:

NA

PHYSICAL REQUIREMENTS:

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67-100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver's license.

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 employee's physician or delegate will be considered for accommodations.

PAY RANGE:

$21.00 - $26.25

City: Potsdam

Postal Code: 13676

The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE. Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, 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.