Referral Specialist

Role and Responsibilities:

• Coordinate all aspects of completing referrals ordered by FCHC providers (i.e., obtain pre-op authorizations and insurance authorizations.
• Contact patients once authorization obtained.
• Arrange referral appointments ensuring proper paperwork is faxed to specialist for appointment per orders (i.e., labs, x-rays, comp notes).
• Track referral “no shows”, in the medical record and bring to the attention of the ordering physician.
• Maintain communication with the provider and patient regarding the most appropriate specialist to refer to in each case.
• Maintain specialty provider list including payor sources they accept.
• Input referrals into i2i tracking system and generate referral form. 
• Make appropriate notations in the medical record and bring to the attention of the ordering Provider and/or Center Clinical Director any problems regarding obtaining referrals including:
  • Obtaining authorizations from third party payors.
  • Making appointments with a specialist.
  • Patients refusing a referral.
  • Patients not showing at a referral appointment.

Minimum Qualifications:

• High school diploma or
• Proof of satisfactory completion of an approved medical assistant program or nursing assistant program; or one (1) year of experience in a medical related field.
• Registered and Certified Medical Assistants must maintain current RMA/CMA
• Current CPR

Skills and Abilities:

• Ability to maintain confidential
• Interest in and ability to work with people of all socio-economic

This job description is not intended to be all-inclusive, and the employee will also perform other reasonable related business duties as assigned by supervisor.

• This organization reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment.