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Referral Specialist

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Orlando Health

Feb 13

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

AI generated summary

  • You must be a high school graduate or equivalent with at least one year of experience in retail, customer service, or healthcare.
  • You will manage patient registrations, obtain insurance authorizations, update billing systems, initiate referrals, and coordinate with staff for optimal care and scheduling compliance.

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 new patients, ensuring proper registration, obtaining insurance authorizations, and coordinating referrals for services and visits.

What qualifications are required for this position?

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

Is prior experience in a healthcare setting necessary for this position?

While prior experience in healthcare is not mandated, at least one year of experience in customer service, retail, or healthcare is preferred.

What are the essential functions of a Referral Specialist?

Essential functions include completing patient registration, obtaining insurance authorization, maintaining accurate insurance information, coordinating with various departments, and effectively communicating with patients and healthcare staff.

How does the Referral Specialist support patient care?

The Referral Specialist supports patient care by working closely with nursing and medical staff, facilitating optimal patient experiences, and ensuring that necessary authorizations are obtained for all services.

What kind of interactions does a Referral Specialist have with patients and healthcare providers?

A Referral Specialist communicates effectively with patients, primary care providers (PCPs), and clinical departments to obtain required authorizations for services and to provide patients with necessary referral information.

Are there any compliance requirements for this position?

Yes, the Referral Specialist must maintain compliance with all Orlando Health policies and procedures.

What is the attendance policy for this role?

The Referral Specialist is expected to maintain reasonably regular and punctual attendance in accordance with Orlando Health's policies, as well as federal and state standards.

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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.