Referral Specialist

• 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

Explore Referral Specialist at Saint Francis Health System. Review requirements and application details.