Referral Specialist - Community Clinic * Days - 40hrs/wk.

Referral Specialist - Community Clinic * Days - 40hrs/wk. Requisition #: req12800Shift: DaysFTE status: 1On-call: NoWeekends: NoGeneral Summary: Under the direction of management, the Referral Specialist coordinates internal and external referrals ordered by providers. This includes completing referrals, scheduling appointments, acquiring and verifying third party information for authorizations and tracking referrals. The Referral Specialist works closely with physicians and other members of the care team.

Schedules and coordinates specialist appointments, procedures and tests done internally or externally. Monitors EMR orders to ensure providers enter information correctly. Validates insurance coverage and processes insurance authorizations. Assembles information concerning patient's clinical background and referral needs. Enters and tracks all referral requests in the EMR or other information system as required Responds and documents requests from providers and patients in a timely manner. Participates in process improvement activities to enhance referral process and workflow. Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures for patient care, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.