Referrals Specialist

Duties and Responsibilities:

  • Completes referrals in an accurate and timely manner.
  • Demonstrates superior customer services skills, including but not limited to:
    • Interacts with all internal and external customers in a caring and respectful manner.
    • Answers telephone, responds to messages/inquiries and routes calls in a timely and polite manner.
    • Communicates with patients and their families in a courteous, professional, cooperative and mature manner both in-person and over the telephone.
  • Prioritizes Providers' orders for diagnostic testing and referrals.
  • Obtains insurance authorizations for referrals, including radiological or other outside testing.
  • Schedules referral appointments and verifies that the patient has received all recommended aspects of care, as directed by the Provider, prior to the appointment.
  • Utilizes established documentation system for tracking referrals related to specialty services, and notifies the referring Provider if patients do not adhere to the recommended plan of care and/or follow-through with referral appointments.
  • Educates patients regarding the requirements of their selected health care plan, and acts as a liaison between the referring provider, patient, provider specialists, and health plans, and works to establish rapport with all patients via an effective, hands-on communication style.
  • Remains up-to-date on referral authorization processes
  • Attends and participates in departmental meetings, or other meetings as appropriate.
  • Assists in providing PI reports for improving patient care.
  • Performs other duties as assigned.

Qualifications:

High School Diploma or equivalent required.  Associates Degree in Business Administration, plus a minimum of one (1) year experience in a medical office setting required; an equivalent combination of education and/or experience will be considered.  Bilingual English/Spanish ability preferred. 

To learn more about Tandem Health and our benefits, please click the links below.

https://tandemhealthsc.e3applicants.com/about-us/benefits-trial

https://www.youtube.com/watch?v=STg1IbibH5g