Referral Specialist

Referral Specialist The Referral Specialist will coordinate all patient referrals at the request of the Providers. Will notify the patient of appointment and give any instructions if needed for patient to receive appointment date and time. Will enter all referrals into the electronic health record system (eCW), document clear notes, and track and record reports as they are received. They are to act as a liaison between the patient/provider & specialties. The Referral Specialist communicates with providers via electronic medical record, email, or telephone. The Referral Specialist will identify the insurance coverage and limitation for the patient. Document appointments and communication with providers and patients in the EHRDetermine patient eligibility for services; arranging and scheduling medical appointments for referred care Ensure referral results are returned to the designated Referral E-Fax within 48 hours after the consult is received, assisting with follow-up as necessary Data Entry of Referral date, Provider, and Status of Consultation Appropriately schedule all appointments, coordinating with the patients and the outside providers. Efficiently notify the patient of any changes in their appointments within 24hrs, including a follow call/letter documented in EHRAlert providers if there are any issues scheduling appointment or if the requested referral appointment is schedule for more than 3 months from date referral was generated Alert Patient of scheduling delays and assist Patient with other Sites / or Providers for sooner appointment availability, when deemed necessary Detail Documentation of all Patient statements and/or conclusion of Referral appointment Verify and update patient insurance and demographic information Contact insurance carriers to verify patient coverage as needed Obtains pre-certification/authorization for services when applicable Scan correspondence, consultations, and other documents to Patient's EHR.Manages VIP's Referral Tracking Tool (eBO, eCW, excel, etc.)Conduct outreach preventive care reminder calls to assist patients in managing their healthcare Provide great customer service and respectful communication with patients, outside facilities and co-workers Participate in meetings, town halls, and collaborations as designated. Performs additional duties as assigned by supervisor.