Referral Specialist Urology

Lifespan; Providence (RI); On-site; USD 26,000 - 43,000; Full time

Job summary

Brown University Health is seeking a Referral Specialist to coordinate patient referrals and scheduling with physicians and testing facilities. You will obtain necessary insurance authorizations, communicate appointment details to patients, and ensure proper forwarding of information to specialist offices in line with practice protocols.

The role emphasizes diligent management of LifeChart referrals, patient follow-up, and collaboration with the practice team to support seamless care transitions

Qualifications

• High school diploma or equivalent; billing and medical knowledge.
• Minimum two years of clinical referral experience.
• 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.

Responsibilities

• Schedule/coordinate/triage all referrals created by and sent to the practice via LifeChart work queues.
• Obtain all un-resulted consults and testing orders managed by the referral office.
• Alert ordering provider of missed appointments with specialists or testing facilities.
• Scan correspondence into medical records and forward to appropriate provider.
• Take messages from the referral line/fax, create referrals in LifeChart, and seek PCP approval prior to sending to specialists.
• Contact patients with appointment information and any pre-appointment instructions.
• Maintain knowledge of insurer referral authorization requirements and demonstrate cultural sensitivity.
• Serve as a resource to practice team on referral issues.
• Participate in practice performance and quality improvement activities.

Skills

Customer service

Verbal communication

Written communication

Organizational skills

LifeChart experience

Education

High school diploma

Tools

LifeChart

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 ques.

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.

In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

• 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 ques. 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, create 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 have a working understanding of the patient population and demonstrate 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 determine when the patient need to be seen.

MINIMUM QUALIFICATIONS

• Basic Knowledge: High school degree or the equivalent. Billing and medical knowledge.
• Experience: 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

117 Ellenfield Street
Providence, Rhode Island 02903

WORK TYPE

M - F 8am -5pm

WORK SHIFT

Day

DAILY HOURS

8 hours

DRIVING REQUIRED

No