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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in patient care scheduling and referral management, ensuring compliance with healthcare regulations and effective communication with stakeholders. Proficient in customer service and organizational skills to manage multiple priorities and deadlines.
Highest-signal resume keywords
Patient Care SchedulingReferral ManagementCustomer Service SkillsMicrosoft Office ProficiencyHealthcare Regulations Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Referral ProcessingBilling Information ConfirmationQuote PreparationData AnalysisReport Writing
Soft Skills
Strong Critical ThinkingExcellent Communication SkillsOrganizational SkillsInterpersonal SkillsTeam Collaboration
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
Healthcare NetworkClaims AdjustersVendor PartnersWorkers' Compensation GuidelinesQuality Programs
About the role
Key responsibilities & impact- Reach out to patients regarding new or processing referrals, confirming demographic information, providing referral updates, and confirming delivery of goods or services
- Communicate with vendor partners, claims adjusters, and nurse case managers about new and in-process referrals
- Procure vendor partners for each referral based on requested goods or services
- Make and take phone calls regarding existing referrals, new referrals, and other team members’ referrals
- Provide quotes to clients for approval and follow up on quotes to obtain written approval
- Ensure referrals are medically necessary and approved by the claim adjuster
- Confirm required billing information and move referrals to billing each day
- Process referrals according to state regulations and workers’ compensation guidelines
- Perform other duties as assigned
- Support the organization’s quality programs
- Travel as required
Requirements
What you’ll need- High school diploma or GED required
- Two (2) years of industry experience in healthcare network and patient care scheduling or equivalent combination of education and experience required
- Strong customer service skills
- Strong critical thinking skills
- Self-starter
- Excellent oral and written communication skills
- PC literate, including Microsoft Office products
- Analytical and interpretive skills
- Strong organizational skills
- Excellent interpersonal skills
- Ability to create and complete comprehensive, accurate and constructive written reports
- Ability to work in a team environment
- Ability to meet or exceed Performance Competencies
- Ability to handle work-related stress
- Ability to handle multiple priorities simultaneously
- Ability to meet deadlines
Benefits
Comp & perks- Work-life balance
- Quality program support
- Reasonable accommodations when applicable and appropriate
- Equal Opportunity Employer
- Drug-Free Workplace
