Referral Representative

Healthlinc; South Bend (IN); On-site; USD 32,000 - 42,000; Full time

Job summary

HealthLinc is seeking a Referral Representative to act as a liaison between patients, providers, and specialty sites. You will verify patient eligibility, prepare referral information, and maintain accurate documentation to support the referral workflow.

The role reports to the Assistant Site Operations Director and requires strong organizational, communication, and team skills to ensure timely coordination with clinics and patients.

Qualifications

• Strong organizational and time management skills.
• Excellent verbal and written communication skills.
• Proven ability to work well in a team environment.
• Experience with basic medical terminology is a plus.

Responsibilities

• Organizes referrals to specialists and serves as a resource for patients and staff.
• Checks Medicaid, Medicare, and private insurance provider coverage online.
• Completes referral information for Providers as requested.
• Maintains and updates referral resource binder and tracks open orders.

Skills

Organizational skills

Time management

Customer service

Verbal and written communication

Education

High school diploma or equivalent

Some college (preferred)

Tools

Microsoft Office

EHR

Multi-line phone system

Job description

As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director.JOB RESPONSIBILITIES:Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.Completes referral information for patients as requested by the Providers.Maintains and updates referral resource binder.Manages open referral orders by finding documents and follows up with all parties involved.Assists with patient phone calls and questions.Follows up with specialty clinics to coordinate patients medical information flow.Maintains accurate and timely documentation.Obtain prior authorization for specific testing.All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).Perform other duties as assigned.REQUIRED QUALIFICATIONS:Education/TrainingHigh school diploma or equivalentSome college (not required but highly preferred)ExperienceAt least 1-2 years of experience in a medical administrative positionAt least 1-2 years of experience in a customer service positionSkills/Job RequirementStrong organizational and time management skillsStrong customer service skillsProven ability to work well in a team environmentExcellent verbal and written communication skillsProven experience with basic medical terminology (not required but highly preferred)Ability to follow HealthLinc policies and proceduresTechnology SkillsOperate a multi-line phone system and other office equipment including printers, fax machines, etc.Basic computer skills (Microsoft Office, EHR, online sources, etc.)DIRECT SUPERVISION:N/AREQUIRED TRAINING:All assigned Relias training