Referral Specialist - Ophthalmology * Days - 40hrs/wk.
- High School education or equivalent
- One year of experience in a medical office and/or prior experience coordinating referrals
- Knowledge of medical terminology
- Able to work independently and collaboratively with minimal supervision
- Knowledge of medical record content and sequence
- Training or experience in medical coding and managed care insurance plans
- Knowledge of appointment scheduling process
- High level of interpersonal skills
- Communicate effectively, both verbal and written
- Able to prioritize, maintain accurate records, and work under deadline
- Excellent customer service skills
- Schedules and coordinates specialist appointments, procedures and tests done internally or externally.
- Monitors EMR orders to ensure providers enter information correctly.
- Validates insurance coverage and processes insurance authorizations.
- Assembles information concerning patient’s clinical background and referral needs.
- Enters and tracks all referral requests in the EMR or other information system as required
- Responds and documents requests from providers and patients in a timely manner.
- Participates in process improvement activities to enhance referral process and workflow.
- Performs other duties as assigned. These may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures for patient care, pursuing self-directed learning and continuing education opportunities, and participating on committees, task forces, and work groups as determined by management.
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