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Referral Specialist

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Orlando Health

24d ago

  • Job
    Full-time
    Junior Level
  • Customer Relations
    Healthcare
  • Orlando

AI generated summary

  • You must have a high school diploma or equivalent and at least one year of experience in retail, customer service, or healthcare.
  • You will register patients, verify insurance, initiate referrals, coordinate with staff, manage authorizations, and ensure compliance with policies for optimal patient care.

Requirements

  • High school graduate or equivalent education.
  • One (1) year of retail, customer service or health care.

Responsibilities

  • Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital admissions.
  • Ensures financial information and insurance has been verified.
  • Updates patient insurance information in billing systems as needed
  • Initiates the referral and authorization process for all services and visits.
  • Works closely with nursing and medical staff to facilitate optimal patient care.
  • Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming appointments.
  • Coordinates with other departments as needed to facilitate patient’s visit.
  • Provides patient with referral information for other physicians and facilities.
  • Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each service.
  • Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state and local standards.
  • Maintains compliance with all Orlando Health policies and procedures.

FAQs

What is the primary role of a Referral Specialist?

The primary role of a Referral Specialist is to be the initial contact for each new patient, ensuring their registration, insurance authorization, and coordination of care flow smoothly.

What qualifications are needed for this position?

A high school diploma or equivalent education is required, along with at least one year of experience in retail, customer service, or healthcare.

What are the essential functions of a Referral Specialist?

Essential functions include completing patient registration, obtaining insurance authorization, updating billing systems, initiating referral processes, coordinating with healthcare staff, and maintaining compliance with policies.

How does the Referral Specialist facilitate patient care?

The Referral Specialist works closely with nursing and medical staff to ensure that patient care is optimized and coordinates with various departments to facilitate patient visits.

What kind of communication skills are required for this position?

Strong communication skills are essential, as the Referral Specialist must effectively communicate with internal and external customers, including patients, primary care physicians (PCPs), and clinical departments.

Is punctuality important for this role?

Yes, maintaining regular and punctual attendance is essential and must be consistent with Orlando Health policies and relevant federal and state standards.

What types of patients does the Referral Specialist assist?

The Referral Specialist assists new patients who are seeking care and manages their registration and insurance processes for various services.

What is the process for updating patient insurance information?

The Referral Specialist is responsible for verifying and updating patient insurance information in the billing systems as needed.

Will I be required to work with multiple departments?

Yes, the role requires coordination with various departments to facilitate patient visits and ensure that all necessary authorizations are in place.

Is experience in healthcare necessary for this job?

While experience in healthcare is preferred, one year of experience in retail or customer service can also qualify a candidate for this position.

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Orlando Health

A trusted leader inspiring hope through the advancement of health.

Science & Healthcare
Industry
10,001+
Employees
1918
Founded Year

Mission & Purpose

Orlando Health is a not-for-profit healthcare organization with $7.6 billion of assets under management that serves the southeastern United States. Headquartered in Orlando, Florida, the system was founded more than 100 years ago.