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Saint Francis Health SystemCore Competencies
Role fitUse this summary to align your resume positioning with the role.
Demonstrates expertise in managing referral processes, including obtaining authorizations for managed care, Medicaid, and Medicare plans, while effectively coordinating patient scheduling and communication with specialty offices. Proficient in utilizing Epic for documentation and maintaining organizational efficiency in referral management.
About the role
Key responsibilities & impact- Review, analyze, and document all referral requests
- Obtain appropriate authorizations for managed care, Medicaid, and Medicare plans
- Coordinate scheduling with specialty offices and patients
- Analyze the daily referral queue and prioritize work for patient scheduling
- Research referrals to verify required documentation and assist with authorization
- Follow departmental protocols and document consistently in Epic
- Coordinate daily coverage with partners
- Communicate with specialty staff, offices, and diagnostic locations to arrange appointments
- Document appointment information for PCP offices
- Prepare weekly and monthly accounting of referral queue aging
- Locate specialty physicians and maintain desktop reference information
- Answer patient calls seeking new physicians and match patients based on geography, insurance, and medical problems
- Support Warren Clinic office staff with same-day referral questions and referral-status inquiries
- Share telephone assignments and maintain knowledge of available resources
- Escalate questions, delays, and changes to supervisors or managers
Requirements
What you’ll need- High School Diploma or GED
- 3 - 4 years related experience
- PC skills
- Customer service skills
- Organizational skills
- Communication skills
- Previous EPIC and Medicaid/Medicare experience preferred
- Must be within commuting distance to Tulsa, OK during 3-6 months of on-site training
- No licensure, registration, or certification required
Benefits
Comp & perks- Full-time schedule
- EOE Protected Veterans/Disability
ATS Keywords
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