Referral Intake Specialist-ORC

Loma Linda University Health; Loma Linda (CA); Sur place; USD 52 000 - 70 000; Plein temps

Résumé du poste

Loma Linda University Health is seeking a Referral Intake Specialist-ORC to review and analyze patient referrals for preauthorization and case management across outpatient and inpatient services. The role involves obtaining benefits/eligibility, certifications, and scheduling appointments, with an emphasis on clear communication with staff, physicians, and community partners.

Ideal candidates have strong customer service experience and English proficiency, with Spanish preferred, and are capable

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.

Responsabilités

• 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 staff, physicians and community about services offered.

Connaissances

Customer service

Communication skills

Telephone etiquette

Bilingual English/Spanish

Microsoft Word/Excel/Outlook

Formation

High School Diploma or GED

Outils

Word

Excel

Outlook

Description du poste

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.

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