Referral & Care Coordination Specialist

Rural Health Group, Inc.; Roanoke Rapids (NC); On-site; USD 36,000 - 48,000; Full time

Job summary

Rural Health Group is seeking a full-time Referral Specialist for the RHG Halifax Medical Specialist clinic in Roanoke Rapids, NC. The role focuses on coordinating referrals, obtaining prior authorizations, and ensuring timely processing of patient referrals.

The ideal candidate will have outpatient office experience, strong multitasking abilities, and excellent communication skills. E-Verify and background checks are part of employment.

Qualifications

• High school diploma or GED required.
• Outpatient physician office experience strongly preferred.
• Ability to multi-task and work efficiently in a potentially stressful environment.
• Ability to apply common sense understanding when carrying out detailed written or oral instructions.
• Strong communication and organizational skills are essential.

Responsibilities

• Schedule STAT/URGENT referrals and track high-risk referrals.
• Obtain prior authorization from insurance carriers for ordered tests and specialty referrals.
• Maintain confidentiality of patient health records per applicable laws.
• Process referrals timely, sorting by urgency and date.
• Refer patients to specialists based on medical, financial, and transportation resources.
• Document and enter referrals in patients’ health records.
• Review referral details with patients and explain responsibilities.
• Verify documentation supports the referral and related workups.
• Assemble and forward complete documentation to appropriate providers.
• Track all referrals ongoingly and monitor status.
• Handle incoming calls and respond to information requests from patients and external sources.
• Participate in quality improvement teams/meetings.
• Monitor high-risk and current cancers.

Skills

Good Judgment

Communication/Customer Service/Team—_…

Passion

Honesty

Responsibility

Job-Specific Skill Set

Education

High school diploma or GED

Tools

eClinicalWorks

Microsoft Office

Practice management systems

Job description

Rural Health Group is seeking a full-time Referral Specialist for the RHG Halifax Medical Specialist clinic in Roanoke Rapids, NC. The role focuses on coordinating referrals, obtaining prior authorizations, and ensuring timely processing of patient referrals.

The ideal candidate will have outpatient office experience, strong multitasking abilities, and excellent communication skills. E-Verify and background checks are part of employment.