Referral Specialist

Valley Health Systems; Milton (WV); In loco; USD 32.000 - 46.000; Tempo pieno

Descrizione del lavoro

Talentify is seeking a referral specialist to manage the end-to-end referral workflow, coordinating with insurance carriers, specialists, and patients to ensure timely access to care.

Responsibilities include completing required paperwork, maintaining accurate records in the EHR, and liaising with health plans and providers. The role emphasizes patient communication, population health support, and adherence to HIPAA within a collaborative care team.

Competenze

• High school diploma or equivalent.
• Excellent communication skills.
• Multitasking abilities.
• Detail oriented.
• Proficient knowledge of medical terminology.

Mansioni

• Manage the referral process from start to finish, including contacting insurance carriers, specialists, and patients.
• Complete paperwork and meet insurance requirements.
• Maintain up-to-date records in the patient’s medical record and EHR.
• Communicate scheduling details and instructions to patients.
• Coordinate care with health plans, facilities, and providers.
• Support population management and patient coaching as needed.
• Ensure HIPAA confidentiality and team-based care.
• Other duties as assigned.

Conoscenze

Communication skills

Multitasking

Attention to detail

Medical terminology

Formazione

High school diploma

Strumenti

Electronic Health Record (EHR)

Descrizione del lavoro

Job Summary

The referral specialist is responsible for carrying out the entire referral process within the health center(s). The referral process includes initiating the referral by contacting the insurance carrier, contacting the specialist, contacting the patient, and follow up to see that the referral has been kept. The referral specialist plays a key role in helping patients get access to care.

Job Duties

• Complete all necessary paperwork and other information essential to meet the patient’s insurance agency’s requirements.
• Maintain up-to-date records documenting date, time, and place of appointment or test within the patient’s medical record.
• Orders & referrals kept up to date utilizing the tracking system in the electronic health record (EHR)
• Communicate information to patients regarding date, time, location, and special instructions regarding their referrals.
• Assist in care coordination which may include obtaining test and referral results and communication with various entities including but not limited to community organizations, health plans, facilities and specialists.
• Proactively address needs of the patients and families through the concept of population management.
• Effectively communicates with all patients with specific attention to the vulnerable patient population.
• Provide self management support in the form of patient coaching and motivational interviewing when appropriate.
• Acknowledges the importance of a team approach when providing patient care.
• Communicates and coordinates effectively when providing patient care.
• Actively participates in the medical home care team which is comprised of clinical and non-clinical working together towards a common goal: delivering quality care to our patients.
• Maintain compliance with the organization’s confidentiality policy in accordance to the Health Insurance Portability and Accountability Act (HIPAA).
• Other duties as assigned.

Working Conditions

• Position requires manual dexterity for operating standard office equipment.
• Position requires the ability to maintain concentration and attention to detail for long periods of time in order to maintain accurate records pertaining to patient and/or account information.

Qualifications

• High school diploma or equivalent
• Excellent communication skills
• Multitasking abilities
• Detail oriented
• Proficient knowledge of medical terminology

EEO is the Law – Applicants can learn more about our equal opportunity employer status by viewing the federal EEO Know Your Rights poster.

Monday-Friday 8:00am-4:30pm