Referral Specialist

CommonSpirit Health; Kearney (NE); On-site; USD 42,000 - 58,000; Full time

Job summary

CHI Health Clinic is seeking a Referral Specialist to coordinate patient access to specialty care by managing referrals and authorizations. You will obtain clearances for specialty visits, issue referrals for ancillary services, and secure approvals for medications and other services.

The role requires meticulous attention to detail, strong organization, and clear communication to ensure efficient service delivery for patients.

Qualifications

• High School Graduate / GED and minimum of one year healthcare related experience.
• Experience with Google Suite or Microsoft Office products

Responsibilities

• Collaborates across departments with physicians, APPs, clinic, revenue cycle, hospital and ancillary department staff to facilitate scheduling across the patient care continuum.
• Schedules patients for referred services in various clinic and hospital departments following complex department-specific scheduling processes and utilizing applicable EMR scheduling programs.
• Effectively communicates with the patient/patient representative to gather pertinent demographic information and referral preferences to determine the appropriate time and location for the referred service.
• Collaborates with clinic staff and revenue cycle staff to validate pre-authorization for referred services prior to the scheduled time of the service.
• Manages referral work queues in the EMR, accurately documenting referral process steps and ensuring completion of the referral process with final status communication back to the referring clinician.
• Ensures referral orders are entered accurately into the EMR and communicates with the referring clinician for any necessary changes or clarifications.

Skills

Healthcare scheduling

Attention to detail

Communication

Organization

Education

High School Diploma or GED

Tools

EMR scheduling programs

Google Suite

Microsoft Office

Job description

Job Summary and Responsibilities

As our Referral Specialist, you will orchestrate patient access to specialized care by expertly managing all referral and authorization processes. Every day, you will proactively obtain clearances for specialty visits, issue referrals for ancillary services (consults, imaging, labs), and secure approvals for medications, DME, home health, and other vital services. To be successful in this role, you will demonstrate meticulous attention to detail, strong organizational skills, and clear communication to ensure seamless and efficient service delivery for our patients.

• Collaborates across departments with physicians, advanced practice providers (APPs), clinic, revenue cycle, hospital and ancillary department staff to facilitate scheduling across the patient care continuum.
• Schedules patients for referred services in various clinic and hospital departments following complex department-specific scheduling processes and utilizing applicable EMR scheduling programs.
• Effectively communicates with the patient/patient representative to gather pertinent demographic information and referral preferences to determine the appropriate time and location for the referred service.
• Collaborates with clinic staff and revenue cycle staff to validate pre-authorization for referred services prior to the scheduled time of the service.
• Manages referral work queues in the EMR, accurately documenting referral process steps and ensuring completion of the referral process with final status communication back to the referring clinician.
• Ensures referral orders are entered accurately into the EMR and communicates with the referring clinician for any necessary changes or clarifications.

Job Requirements

• High School Graduate /GED and Minimum of one year healthcare related experience, preferably in a position involving scheduling and EMR utilization, upon hire and
• Experience with Google Suite or Microsoft Office products
• None, upon hire

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.