Referral Representative

Responsibilities

• Patient Access - Referrals Processes Accurately and efficiently processes referrals to specialists, hospitals and diagnostic centers in accordance with physician orders processing referrals in a timely manner for required services in the most appropriate setting; coordinates the referrals with insurance providers so that financial liability to the patient is minimized. Works closely with physicians, nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner. Obtains/scans outside clinic records after appointment to assure continuity of care.
• Accurately and efficiently processes referrals to specialists, hospitals and diagnostic centers in accordance with physician orders processing referrals in a timely manner for required services in the most appropriate setting; coordinates the referrals with insurance providers so that financial liability to the patient is minimized.
• Works closely with physicians, nurse practitioners and nursing staff to ensure that referrals to other providers/services/facilities are completed in accordance with payor requirements in a timely manner.
• Obtains/scans outside clinic records after appointment to assure continuity of care.
• Clinic Operations & Patient Flow Actively supports clinic, practice, hospital and health system initiative related to improvement in the day-to-day operations. Assists patients with access to government and community resources to enhance their access to health care services.
• Actively supports clinic, practice, hospital and health system initiative related to improvement in the day-to-day operations.
• Assists patients with access to government and community resources to enhance their access to health care services.
• Performance Excellence Actively supports the organizations performance excellence initiatives including Lean Six Sigma. Performs duties in a manner that results in improved patient outcomes and patient satisfaction. Actively supports the organizations Culture of Excellence utilizing initiative to make suggestions that would improve the patient's experience and the environment of care.
• Actively supports the organizations performance excellence initiatives including Lean Six Sigma.