Referral Specialist Gastroenterology

Lifespan; Providence (RI); On-site; USD 21,000 - 35,000; Full time

Job summary

Lifespan is seeking a Referral Specialist to efficiently coordinate patient referrals and ensure effective communication throughout the care process. The ideal candidate will manage scheduling, follow-up on referrals, and maintain knowledge of insurance authorization requirements. A high school diploma and two years of clinical referral experience are required. This position emphasizes strong customer service and organizational skills.

The role is based in Providence, Rhode Island, with a work schedule of M-F from 8 AM to 5 PM. A supportive work environment that values compassion, accountability, respect, and excellence is offered.

Qualifications

• Two years of clinical referral experience required.
• Billing and medical knowledge preferred.
• Strong customer service focus.
• Demonstrated knowledge of patient care across ages.

Responsibilities

• Schedule and coordinate referrals using Lifechart.
• Ensure follow-up on outstanding referrals.
• Maintain knowledge of insurer referral requirements.

Skills

Customer service focus

Effective communication skills

Data entry skills

Organizational skills

Education

High school degree or equivalent

Job description

SUMMARY

The Referral Specialist reports to the Practice Manager. Under the general supervision, coordinates the effective and efficient patient flow in regards to scheduling appointments with specialist and testing per physician request. Obtains proper insurance authorization prior to scheduling appointment and once completed contacts patient with pertinent information and ensures that all required information is forwarded to specialist office following practice protocols. Follows patient's status within the cycle of provider care to ensure continuity of services utilizing LifeChart referral work queue.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

CORE SUCCESS FACTORS

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

RESPONSIBILITIES

Schedule/coordinate/triage all referrals created by and sent to the practice via Lifechart work queue. Sets follow-up alarms per practice protocols and the tracking function to ensure that all outstanding referrals are followed‑up on. Obtains all un‑resulted consults and testing orders managed by the referral office. Alerts the ordering provider of any patient that does not keep an appointment with a specialist or testing facility. Scans into the medical record all correspondence received on patients and ensures that they are correctly labeled and forwarded to the proper ordering provider for their review. Takes messages from the referral line/fax machine, creates a referral in Lifechart and forwards the information to the PCP for approval prior to sending referrals to specialist or testing facility in accordance with practice policy. Contacts patients and instructs them with not only information about the appointment but provides them with any specific instructions prior to their appointment. Maintains current knowledge of insurer referral authorization requirements and has a working understanding of the patient population and demonstrates cultural awareness and sensitivity. Acts as a resource to practice team members regarding referral issues. Participates in practice performance and quality improvement activities. Attends required meetings and trainings as directed. Performs other related duties appropriate to training and experience as assigned by physician practice manager. Knowledge of front office operations in addition to clinical knowledge for triaging referrals and determines when the patient needs to be seen.

MINIMUM QUALIFICATIONS

• High school degree or equivalent.
• Billing and medical knowledge.
• Two years of clinical referral experience required.
• Patient Centered Medical Home Practice (PCMH) referral experience preferred.
• Data entry skills and computer experience required.
• Strong customer service focus.
• Effective verbal and written communication skills.
• Organized and able to manage competing priorities.
• Able to take and follow through with delegated tasks and accountability.
• Demonstrated knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and cultural patterns in each step of the care process.

Pay Range: $19.03-$31.39

EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location: 58 AMARAL ST - 58 Amaral Street East Providence, Rhode Island 02915

Work Type: M-F 8a-5p

Work Shift: Day

Daily Hours: 8 hours

Driving Required: No