Referral Specialist

Rochester General Hospital; Linden Oaks (NC); On-site; USD 26,000 - 33,000; Full time

Job summary

Rochester Regional Health Imaging Center Linden Oaks in Rochester, NY seeks a Referral Specialist to manage scheduling and authorization for MRI, CT, and other tests, coordinating with physicians, patients, and payers, and documenting all interactions in the EMR.

You will obtain codes for pre-certifications, guide patients through the process, ensure timely arrivals, and help update scheduling policies to improve efficiency.

Qualifications

• High school diploma or GED required.
• AAS in related field preferred.

Responsibilities

• Greets all patients, in person or by phone, with a cheerful, helpful attitude.
• Coordinates testing with physician, patient, facility and payer; obtains third-party approval.
• Obtains procedure and diagnosis codes to authorize/pre-certify tests.
• Refers self-pay and out-of-network patients to resources for payment help.
• Completes pre-certification/authorization with insurance and documents the details.
• Documents authorization/pre-certification and contact information.
• Contacts patient to communicate scheduled procedures and instructions.
• Coordinates arrival times with hospital/facility and shares this info.
• Assists in reviewing and updating scheduling policies and procedures.
• Performs other duties to ensure scheduling efficiency.
• Maintains knowledge of department equipment (phones, computers, faxes, copiers, printers).

Education

High school diploma or GED

AAS in related field

Job description

SUMMARY

This position is responsible for scheduling and obtaining authorization/pre-certifications for, but not limited to MRI, CT, Neurology, Pain Management and other specialized testing as well as referrals to other MD Specialists and for detailing all patient and third party interaction in the patient's EMR. Promotes and provides customer satisfaction and appropriateness of care for all assigned patients.

Job Title

Referral Specialist

Department

UH Radiology

Location

Imaging Center- Linden Oaks, 360 Linden Oaks Suite 130 Rochester, NY 14625 Rochester, NY 14626

Hours Per Week

40

Schedule

Monday - Friday, Days. 8am - 4:30pm

REQUIRED QUALIFICATIONS

High school diploma or GED certificate required

PREFERRED QUALIFICATIONS

AAS in related field most helpful.

RESPONSIBILITIES

1. 1. Greets all patients, whether in person or via the telephone, with a cheerful and helpful attitude.
2. 2. Provides coordination of testing to be performed with physician, patient, facility and payer. This includes reviewing medical documents for clarity, ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval.
3. 3. Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing.
4. 4. Refers self-pay and out-of-network patients to the appropriate resource to help with payment.
5. 5. Complete pre-certification/authorization with the patient's insurance company providing any necessary documentation.
6. 6. Document authorization/pre-certification once received along with contact information of the person spoken with.
7. 7. Contacts the patient and notifies them of the scheduled procedure and all necessary instructions.
8. 8. Coordinates with the hospital or facility the arrival times of each scheduled patient and contacts them with this information.
9. 9. Assists in reviewing and revising policies and procedures pertaining to scheduling function.
10. 10. Performs other responsibilities as necessary to ensure efficiency within the practice.
11. 11. Maintains operational knowledge of department equipment: telephones, computers, faxes, copier, printers, etc.

Age Specific Care

Provides age and culturally appropriate assessment, interpretation of clinical and laboratory data and develops and implements age appropriate interventions and plans of care including education within the parameters of his/her position responsibilities and licensure. Ensure staff considers age related concerns such as: hearing, vision, speech and level of understanding, when interacting with patients, employees and families.

PHYSICAL REQUIREMENTS

Sedentary - Sedentary roles are primarily office-based and require prolonged sitting (67-100% of the workday) with minimal physical effort and lifting limited to under 10 lbs. Fine motor skills are necessary for computer work, writing, and telephone use, supported by clear visual and auditory ability. Cognitive and emotional demands are high due to extended concentration, frequent interruptions, independent decision-making, and information processing. Although physical exposure is low, administrative areas within healthcare environments may occasionally involve contact with infectious agents. Some roles may require flexible hours, TB screening, or a valid driver's license.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.

PAY RANGE

$19.00 - $24.00

CITY

Rochester

POSTAL CODE

14625

Rochester Regional Health is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.