Company: Lifespan Corporation
Posted on: January 15, 2022
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 patients status within the cycle of
provider care to ensure continuity of services utilizing LifeChart
Schedule/coordinate/triage all referrals created by and sent to the
practice via Lifechart workques. 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
Participates in practice performance and quality improvement
activities. Attends required meetings and trainings as
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.
High school degree or the equivalent.
Billing and medical knowledge.
Two years of clinical referral experience required.
Patient Centered Medical Home Practice (PCMH) referral experience
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
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.
Lifespan is an Equal Opportunity / Affirmative Action employer. All
qualified applicants will receive consideration for employment
without regard to race color religion sex national origin age
ethnicity sexual orientation ancestry genetics gender identity or
expression disability protected veteran or marital status. Lifespan
is a VEVRAA Federal Contractor.
Location: The Miriam Hospital USA:RI:Providence
Work Type: Full Time
Shift: Shift 1
Keywords: Lifespan Corporation, Providence , Referral Specialist, Other , Providence, Rhode Island
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