Referral Specialist Practice Based
Core
Coordinate patient referrals, manage referral orders, and ensure timely access to healthcare services.
Role type
Healthcare administrative specialist (referral coordination)
Builds
Patient referral workflows and access to care
Domain
Healthcare administration
Required skills
Medical terminology, ICD-9/ICD-10 coding, CPT-4 coding, EMR systems, insurance authorization processing, patient communication, appointment scheduling, Microsoft Office
Preferred skills
Administrative experience, healthcare billing, physician office operations, customer service in call centers
Responsibilities
Process and manage incoming patient referral orders, monitor referral requests for accuracy and timeliness, communicate with patients and physicians regarding referral requirements, answer phone calls and schedule appointments, verify documentation and insurance requirements, maintain accurate records in electronic medical record systems, handle insurance authorizations and denials
Seniority
Entry-level to Junior, hands-on IC