Referral Specialist Practice Based

Accountabilities:

Process and manage incoming patient referral orders, ensuring accuracy, completeness, and timely handling in accordance with established procedures.
Monitor referral requests regularly to ensure that orders remain up to date and patients receive timely access to the appropriate healthcare services.
Communicate clearly and professionally with patients, physicians, coworkers, and other healthcare professionals regarding referral requirements and next steps.
Answer incoming phone calls promptly, respond to patient questions, provide relevant information, and schedule procedures or appointments when necessary.
Maintain referral integrity by reviewing orders, verifying documentation, and ensuring that all required information is available for processing.
Monitor voicemail messages and incoming faxes regularly, organize referral documentation, and process insurance authorizations and denials.
Verify that referral orders meet applicable insurance requirements and coordinate with relevant parties to address missing information or authorization issues.
Maintain accurate patient and referral records within electronic medical record systems and other patient database applications.
Apply medical terminology, coding knowledge, and healthcare administrative procedures to support accurate referral processing.
Deliver excellent customer service while managing sensitive, difficult, or emotionally challenging patient interactions with empathy and professionalism.
Collaborate effectively with colleagues and other departments to ensure smooth referral coordination and consistent service delivery.
Maintain strict confidentiality when handling organizational, employee, patient, family, and caregiver information.
Follow applicable healthcare regulations, organizational policies, and established procedures while supporting continuous improvements in referral operations.
Complete required orientation and training programs and perform additional administrative responsibilities as needed.
Requirements:
High school diploma or equivalent required.
Previous administrative or clerical experience is preferred, particularly in healthcare administration, medical offices, or customer service environments.
At least one year of ICD-9 and CPT-4 coding experience is preferred.
Experience in physician office billing, patient registration, appointment scheduling, healthcare call centers, or related administrative functions is an advantage.
Familiarity with electronic medical records (EMR), patient database systems, and healthcare referral management processes.
Knowledge of medical terminology and basic healthcare administrative procedures.
Understanding of ICD-9/ICD-10 and CPT-4 coding systems is preferred.
Intermediate to advanced proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, and Outlook, as well as general internet and web-based applications.
Ability to operate standard office equipment, including fax machines, copiers, calculators, and mail-processing equipment.
Strong written and verbal communication skills, including the ability to read, write, type, and communicate effectively in English.
Excellent telephone communication and customer service skills, with the ability to handle inquiries professionally and respond to patient needs.
Strong organizational skills and attention to detail, with the ability to manage multiple referral requests and administrative priorities.
Critical-thinking and problem-solving abilities, particularly when reviewing admission processes, referral documentation, and insurance requirements.
Ability to interpret relevant government regulations, professional guidelines, technical procedures, and healthcare-related documentation.
Strong interpersonal skills and the ability to work collaboratively with patients, physicians, colleagues, and culturally diverse groups.
Ability to manage difficult or emotionally sensitive customer situations with patience, empathy, respect, and a non-judgmental approach.
High level of discretion and professionalism when handling confidential patient and organizational information.
Ability to adapt to changing priorities, work across departmental boundaries, and maintain a consistent focus on patient satisfaction.
Willingness to complete required orientation and training programs, as applicable.
Benefits:
Competitive compensation: Hourly pay ranging from $17.80 to $28.48, depending on qualifications and experience.
Remote work: Fully remote working arrangement within the United States.
Comprehensive healthcare coverage: Medical, dental, and vision insurance available from the first day of employment.
Financial protection: Life insurance and disability insurance coverage.
Paid time off: Paid leave benefits available from the first day of employment.
Retirement savings: Access to a 403(b) retirement plan.
Paid parental leave: Four weeks of parental leave at 100% pay.
Career development: Opportunities for professional growth, training, and continued learning.
Well-being resources: Access to whole-person wellness programs and mental health support.
Additional perks: Pet benefits and other employee support resources.
Meaningful work: Opportunity to contribute directly to patient care coordination and improve access to essential healthcare services.
Collaborative environment: Work alongside healthcare professionals and administrative teams committed to delivering high-quality, patient-centered services.