Referral Specialist

Heartland Health Services - Central Illinois; Peoria (IL); On-site; USD 23,000 - 30,000; Full time

Benefits offered by this job

Paid holidays

PTO 4 weeks

401K match

Health benefits start day 1

Job summary

Heartland Health Services - Central Illinois is seeking a Referral Specialist to assist patients with referrals to physicians or testing and to coordinate care within the EHR system.

The role requires collaboration with clinical teams, ensuring timely authorizations, patient scheduling, and accurate documentation while upholding confidentiality and quality standards.

Qualifications

• Knowledge of the referral process and obtaining prior authorizations.
• Strong interpersonal skills to interact with patients and clinicians.
• Basic computer skills including Word and Excel.
• Bilingual in Spanish preferred but not required.
• Licensure/Certifications: Basic Life Support; obtain within 90 days.

Responsibilities

• Make referrals to other physicians or testing and obtain prior authorizations.
• Coordinate with resources to ensure continuity of care.
• Document referrals in the EHR and log sheet.
• Track referrals to ensure appointments and results are in the chart.
• Maintain confidentiality and comply with clinic policies.
• Attend staff and department meetings.

Skills

Patient referral process knowledge

Interpersonal skills

Bilingual in Spanish (preferred)

Basic computer skills (Word, Excel)

Copy/fax operation

Tools

Microsoft Word

Microsoft Excel

Job description

Description

$17-$22/hour- pay determined based on years of experience

Job Type

Full-time

Description

$17-$22/hour- pay determined based on years of experience

Monday-Friday

10 Paid Holidays off per Year

PTO - 4 Weeks Accrued per Year

401K Match up to 4%

Health Benefits Start Day 1 (Medical/Dental/Vision/Etc.)

Position Summary

The Referral Specialist provides assistance to patients at Heartland Health Services (HHS) with referrals to other physicians or testing, in accordance with the HHS mission, strategic goals, federal and state laws and regulations, performance and outcome objectives, and accreditation standards.

Essential Functions

• Makes referrals for patients to other physicians or testing; obtains prior authorizations.
• Refers patients to other resources as appropriate and coordinates with the resource to assure continuity of care.
• The Referral Specialist will do the following to ensure a complete referral:
• Patient made aware of referral – with date and time
• How to get to the referral – directions
• Arrange transportation if needed
• Inform patient of any special preparations or instructions prior to appointment
• Fax any paperwork needed for referral
• Document referral in the Electronic Health Record (EHR)
• Document referral on referral log sheet
• Document all correspondence with the patient in the (EHR)
• Maintains a system to track referrals to ensure that the patient kept their appointment, and that the patient’s result(s) of the referral are in the patient’s chart.
• Ensures proper care in the use and maintenance of equipment and supplies; practices safety, environmental, and/or infection control methods.
• Demonstrates compliance with all clinic policies and procedures along with the requirements from the various regulatory agencies.
• Maintains and assures confidentiality of patient information in accordance with HHS policy.
• Maintains a positive working relationship with all departments; communicates with other HHS departments, as needed, to resolve operational problems and make most effective use of the resources in delivering quality patient care.
• Supports clinic compliance with all applicable federal, state, local, and HHS rules, regulations, protocols, and procedures governing the clinical provision of medical services as well as those relating to, but not limited to, workplace safety, public health, and confidentiality.
• Supports and is involved in HHS’s continuous quality improvement efforts designed to improve patient outcomes.
• Works in consultation with clinical teams, direct clinical support staff, and indirect clinical support staff to develop and implement policies and procedures that maximize patient-centered communication and services.
• Maintains and assures confidentiality of patient information in accordance with HHS’s policies.
• Reports building/equipment problems through the appropriate channels.
• Performs any clerical duty or department related task as assigned by supervisor in a continuously changing medical practice.
• Attends all staff meetings, department meetings, and any other meetings as required.

Requirements

• Knowledge and skills necessary to provide patient assistance with the referral process.
• Strong interpersonal skills necessary to interact with patients, families, and clinicians, and to demonstrate empathy and sensitivity necessary to elicit patient cooperation and allay apprehensions.
• Knowledge of community resources and agencies.
• Basic computer skills including Microsoft Word and Excel.
• Ability to run a copy and fax machine.
• Bilingual in Spanish preferred but not required.
• Licensure/Certifications - Basic Life Support; not required to start but must obtain within the first 90 days of hire.

Salary Description

$17-22 per hour