Referral Specialist

Rural Health Group is seeking a full-time Referral Specialist at our RHG at Halifax Medical Specialist clinic in Roanoke Rapids, NC.

Successful candidate must demonstrate the Rural Health Group Core Competencies, which include:

- Good Judgment

- Communication/Customer Service/Teamwork

- Passion

- Honesty

- Responsibility

- Job-Specific Skill Set

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

- Responsible for scheduling STAT/URGENT referrals, tracking referrals and tracking hig risk referrals and actions

- Responsible for obtaining prior authorization from Insurance carriers for ordered Diagnostic Testing/ Procedures and ordered Specialty Referrals.

- Maintains confidentiality of patient health records and other information as required by applicable laws

- Processes referrals in a timely fashion, including sorting and processing referrals by indicated urgency and date

- Refers patients to specialists based on available medical, financial, and transportation resources

- Documents and enters all referrals appropriately in patients’ health record

- Reviews with patients the referral details including their own responsibilities

- Verifies that providers have sufficiently documented the reason for the referral and have done the appropriate workups prior to the referral

- Assembles and forwards complete and accurate documentation

- Maintains ongoing tracking of all referrals

- Handles incoming phone calls and responds to requests for information from patients and outside sources

- Performs other duties as assigned

- Actively participates in quality improvement teams/meetings

- Monitors and tracks high risk and current cancers.

REQUIREMENTS

- High school diploma or GED.

- Outpatient physician office experience strongly preferred

- Ability to multi-task and work efficiently in a potentially stressful environment

- Ability to apply common sense understanding when carrying out detailed written or oral instructions

- Ability to establish and maintain positive, effective, professional relationships with patients, providers, coworkers, and superiors

- Possess knowledge of modern office equipment, Microsoft Office software programs, medical practice management systems, and basic computer skills (including the ability to type)

- Must be able to quickly learn to use eClinicalWorks electronic health record system

- Must have excellent organizational, telephone, and verbal and written communication skills

- Physical Demands: Must be able to sit for long periods of time. Must be able to lift 25-50 pounds. Must be able to ambulate for extended periods of time.

- Embraces the team concept; encourages and models healthy, productive team behavior

- Bilingual (English/Spanish) is a plus, but not required - applicants who may serve in a translating capacity will be required to take a language assessment

EOE. Federal and State Criminal Background Checks and Drug Screen required for all positions. Influenza vaccine is also a condition of employment.

E-Verify Notice: After accepting employment, new hires are required to complete an I-9 form and present documentation of their identity and eligibility to work in the United States.