Referral Intake Specialist-ORC

Loma Linda University Health; California; On-site; USD 25,000 - 36,000; Full time

Job summary

Loma Linda University Health is seeking a Referral Intake Specialist-ORC to review and analyze patient referrals for preauthorization, concurrent review and case management across outpatient and inpatient settings. You will obtain benefits and eligibility, schedule appointments, educate staff and the community, and work with referral sources to maintain timely communications.

Spanish language skills are preferred and travel to providers may be required.

Qualifications

• High School Diploma or GED required.
• Minimum one year of call center experience in a customer service, sales environment, or clinical experience required.
• Minimum three years of experience in healthcare customer service call center preferred.

Responsibilities

• Review and analyze patient referrals for preauthorization and concurrent review.
• Educate staff, physicians and the community about services offered.
• Coordinate with internal and external referral sources by traveling to providers and performing daily distribution/pick up.
• Maintain consistent communication between Rehabilitation Services and referring specialties, providing updates.

Skills

Customer service

Telephone etiquette

English communication

Spanish preferred

Computer skills

Education

High School Diploma or GED

Tools

Word

Excel

Outlook

Job description

Job Summary

The Referral Intake Specialist-ORC reviews and analyzes patient referrals for preauthorization, concurrent review and case management for outpatient and inpatient service areas. Obtains benefits and eligibility as well as authorizations or pre-certifications as required, schedules patient appointments as authorized. Educates and informs staff, physicians and the community about services offered. Maintains a working relationship with internal and external referral sources by traveling and completing a daily distribution/pick up run to providers. Allows Rehabilitation Services to stay in consistent communication with the referring specialties and providing necessary updates. This position serves all areas of Rehabilitation Services. Performs other duties as needed.

Education and Experience

High School Diploma or GED required. Minimum one year of call center experience in a customer service, sales environment, or clinical experience required. Minimum three years of experience in healthcare customer service call center preferred.

Knowledge and Skills

• Able to demonstrate excellent customer service and good communication skills, with emphasis on telephone etiquette.
• Able to read; write legibly; speak in English (and Spanish preferred) with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook).
• Operate/troubleshoot basic office and patient care equipment required for the position; perform required patient care activities related to the position.
• Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction.
• Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision.
• Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

Licensures and Certifications

None.