Referrals Specialist

Benefits

Additional Information

PRIMARY ACCOUNTABILITY Provides business office support to the providers and patient s of MAHEC Family Health Centers, MAHEC OBGYN, MAHEC Internal Medicine, and MAHEC's Center for Psychiatry and Mental Wellness. Primary duties include f ollow ing up and tracking of outgoing, external referrals in a timely manner , as ordered by MAHEC providers. Review ing patient electronic health records to determine the status of r eferral s , obtain appropriate documentation on appointments , and maintain open lines of communication between referral s team, ordering provider s , and offices to which referrals are sent . SPECIFIC R E SPONSIBILITIES Daily Management of Referrals and Patient Appointment Follow Up Manage and prioritize follow up on outgoing referrals by processing outgoing referrals and monitoring the referral queue daily. Obtain prior authorizations as needed to complete the referral. Schedule appointments for tests, procedures, and consultations for specialty offices outside of MAHEC. Provide patient with appointment date, time, location, and contact number for referral provider . Inform patient of specific instructions or preparations to follow in relation to the referral appointment Conduct follow up by reaching out to specialty offices to obtain referral status and facilitate receipt of accompanying documentation on specialty office appointments. Manage incoming calls from patients and clinicians in regards to all referral updates, changes, or confirmations. Ensure MAHEC providers receive appropriate documentation on outgoing referrals ordered. Enter updates in EHR on app ointments for tests, procedures, and consultations for specialty offices outside of MAHEC . Maintain accurate records of contact attempts, correspondence, and referral processing and follow up activities in the EHR, and other established tracking systems. Other duties as assigned by the Referrals Supervisor, and Manager of Health Information Management and Referrals. KEY COMPETENCIES: COMMUNICATION - You are comfortable communicating in person, over the phone, and through email, all with a friendly and professional tone . You prioritize prompt responsiveness, recognizing the important role you play in moving processes forward through communication. DISCRETION - You operate with the mindset that information that is not your own, regardless of how trivial it may seem, is confidential first and shared only with permission. You demonstrate confidentiality with clinical, management, and other organizational data/information. PROBLEM SOLVING - You aren't afraid to think on your feet and encounter a problem you don't know how to immediately solve . You are less concerned with being right and more concerned about connecting with various resources to assist in solving the problem and learning new things along the way. DETAIL ORIENTATION - Details matter to you and you develop systems and processes to help you manage a large volume of them . You envision a process from start to finish and understand all of the details that need to be taken care of in between to keep things running smoothly . You take pride in owning the details and it brings you joy to be trusted in this regard. INITIATIVE - You don't wait to be told what to do . Instead, you anticipate needs and look for tasks you can take care of in the present to facilitate a smooth process in the future . You like to stay busy and love to jump in and help others when you have capacity . You respect and appreciate the work of a leader and view taking initiative as a primary way to support their work. TECH ADAPTABLE - You are comfortable learning new technologies and web-based platforms . You view technology as a way to gain efficiencies . You recognize that you don't have to be an expert and view learning new technologies as an opportunity to grow professionally . PLANNING AND ORGANIZING - You effectively organize and plan work according to organizational needs by defining objectives and anticipating needs and priorities. You efficiently manage your own time and effectively handle multiple demands and competing deadlines. You identify goals, develop plans, estimate time frames and monitor progress. Swift implementation is your goal. ANALYSIS AND PROBLEM SOLVING - You like to solve difficult problems through careful and systematic evaluation of information, possible alternatives and consequences. You integrate information from diverse sources and evaluate the information against possible courses of action. This job description is a general description of the essential job functions, and is not intended to describe all the duties a Referral Specialist may perform. EDUCATION AND/OR EXPERIENCE : High School Diploma or equivalent, at least (2) years of relevant experience in a medical office or hospital setting, or a comparable equivalent of combined education and experience required . Strongly prefer individual with working knowledge of medical terminology, referral or sc