Referral Clerk

Job Description :

Works in centralized referral department for SPN. Responsible to performing standard work process for referrals for family practice centers. Associates will work with all customers to include internal and external providers, other associates, and patients to communicate and facilitate expedited referrals. The referral department is a major part of the care delivery we provide.

Education

High school diploma or equivalency (GED)

Associate degree in healthcare administration or equivalent college coursework preferred.

Experience

• Previous Medical Office experience preferred.

Knowledge, Skills, Abilities

Strong organizational skills and ability to prioritize tasks

Strong interpersonal skills and ability to work with a wide variety of individuals.

Ability to identify and solve problems independently.

Excellent in verbal and communication skills.

Excellent Customer Service skills.

Job Duties and Standards

Be competent in most recent version of Referral standard work. Keep in work area to reference.

Participate in monthly meeting to discuss workflow opportunities.

Participate in data for “Referral “ update for SPN Medical providers.

Report to leader and keep he / she updated on referral delays / barriers to be passed on to providers.

Keep work area neat and clean.

Assist in securing area at the end of the day, ensuring that all doors are locked, and lights / office equipment are turned off.

Make referral appointments for patients as directed, providing the patient with all pertinent information needed regarding the referral per standard work.

Participate in reporting as directed by Leader.

Maintain referral work ques to standard or communicate to supervisor if standards not met.

Performs other duties as assigned.

Correct Referral Orders.

Update / manage referrals in the Needs Authorization, Needs scheduling, and close loop work ques

Schedule and manage Incoming Referrals by standard work to include referrals that cannot be completed due to patient barriers.

Complete Prior Authorizations as required.

Adhere to standard work for STAT, URGENT and ROUTINE referrals.