Referral Representative

Fmolhs; Baton Rouge, Northern (LA, KY); Hybrid; USD 36,000 - 54,000; Full time

Job summary

FMOL Health is seeking a dedicated Patient Access professional to manage referrals from practice providers to specialists, hospitals and diagnostic centers, ensuring compliance with payer requirements and accurate patient verification. You will coordinate with insurance providers to minimize patient financial liability and improve the patient experience.

Responsibilities include processing referrals, collaborating with physicians and staff, obtaining outside records, and supporting Lean Six

Qualifications

• Education - High School or equivalent.
• Special Skills - Strong organizational skills; professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period.

Responsibilities

• Accurately and efficiently processes referrals to specialists, hospitals and diagnostic centers in accordance with physician orders processing referrals in a timely manner for required services in the most appropriate setting; coordinates the referrals with insurance providers so that financial liability to the patient is minimized.
• Works closely with physicians, nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner.
• Obtains/scans outside clinic records after appointment to assure continuity of care.
• Actively supports clinic, practice, hospital and health system initiative related to improvement in the day-to-day operations.
• Assists patients with access to government and community resources to enhance their access to health care services.
• Actively supports the organizations performance excellence initiatives including Lean Six Sigma.
• Performs duties in a manner that results in improved patient outcomes and patient satisfaction.
• Actively supports the organizations Culture of Excellence utilizing initiative to make suggestions that would improve the patient's experience and the environment of care.
• Performs other duties as assigned or requested.
• Provides quality training and orientation for assigned employees.

Skills

Strong organizational skills

Professional demeanor

Excellent customer service skills

Ability to multi-task

Critical thinking

Demonstrated computer literacy

Epic proficiency

Education

High School or equivalent

Tools

Epic

Job description

Primarily responsible for processing referrals from practice providers to specialists, hospitals and diagnostic centers ensuring that the facility and insurance provider requirements are met to ensure patients obtain required services in the appropriate setting. Also responsible for accurately validating patient information, verification of insurance coverage, and ensuring the patient's experience is best in class.

Responsibilities

• Patient Access - Referrals Processes
  • Accurately and efficiently processes referrals to specialists, hospitals and diagnostic centers in accordance with physician orders processing referrals in a timely manner for required services in the most appropriate setting; coordinates the referrals with insurance providers so that financial liability to the patient is minimized.
  • Works closely with physicians, nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner.
  • Obtains/scans outside clinic records after appointment to assure continuity of care.
• Clinic Operations & Patient Flow
  • Actively supports clinic, practice, hospital and health system initiative related to improvement in the day-to-day operations.
  • Assists patients with access to government and community resources to enhance their access to health care services.
• Performance Excellence
  • Actively supports the organizations performance excellence initiatives including Lean Six Sigma.
  • Performs duties in a manner that results in improved patient outcomes and patient satisfaction.
  • Actively supports the organizations Culture of Excellence utilizing initiative to make suggestions that would improve the patient's experience and the environment of care.
• Other Duties as Assigned
  • Performs other duties as assigned or requested.
  • Provides quality training and orientation for assigned employees.

Qualifications

Education - High School or equivalent

Special Skills - Strong organizational skills; professional demeanor, excellent customer service skills, ability to multi-task, critical thinking, demonstrated computer literacy, ability to learn and demonstrate proficiency in Epic during the introductory period.

FMOL Health team members will only communicate with job applicants using [e-mail] email addresses. If you receive any message regarding job opportunities or your application from a non @fmolhs.org email address, do not respond and report the message as phishing / spam and delete it.

• Job Identification 48361
• Job Category Revenue_Cycle
• Locations 5959 S Sherwood Forest Blvd, Baton Rouge, LA, 70816, US (Remote)
• Job Shift Day
• Job Function Patient Access
• Worker Type Employee
• Regular or Temporary Regular
• Requisition Schedule Full-Time
• Hours of Schedule (e.g. M-F 8a-5p) M-F 8:30 am - 5:00 pm
• Department Patient Scheduling-Lake Physician Group
• FMOLHS Company Code Our Lady of the Lake Physician Group LLC

FMOL Health team members will only communicate with job applicants using [e-mail] email addresses. If you receive any message regarding job opportunities or your application from [e-mail] address, do not respond and report the message as phishing / spam and delete it.