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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong customer service and communication skills while managing patient referrals and vendor partnerships in compliance with healthcare regulations. Proficient in handling multiple priorities and ensuring accurate documentation and reporting.
Highest-signal resume keywords
Healthcare Network ExperiencePatient Care SchedulingReferral ManagementMicrosoft Office ProficiencyStrong Customer Service Skills
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 ManagementCritical ThinkingAnalytical SkillsReport Writing
Soft Skills
Excellent Oral CommunicationExcellent Written CommunicationStrong Organizational SkillsInterpersonal SkillsTeam Collaboration
Certifications & Qualifications
High School DiplomaGED
Industry Keywords
State RegulationsWorkers Compensation GuidelinesVendor PartnershipsClaims AdjustersQuality Programs
About the role
Key responsibilities & impact- Reach out to patients regarding new or existing 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 or take calls concerning existing referrals, new referrals, or other team members' referrals
- Provide quotes to clients for approval and follow up to obtain written approval for requested referrals
- Ensure referrals are medically necessary and approved by the claims adjuster
- Confirm required billing information is present and move referrals to billing each day
- Process referrals according to state regulations and workers compensation guidelines
- Perform other assigned duties
- 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 multiple priorities simultaneously and meet deadlines
- Travel as required
Benefits
Comp & perks- Work-life balance
- Equal Opportunity Employer
- Drug-Free Workplace
- Reasonable accommodations considered
- Diverse, equitable, and inclusive workplace
