Job Description
Job Description
Imaging Referral Specialist
The Imaging Referral Specialist is responsible for clinical referrals with particular focus on Imaging requests for patients. The Imaging Referral Specialist is charged with the timely and accurate scheduling of all clinical imaging referrals, as requested by the patient’s primary care provider.
Communication
Good oral and written communication skills are required for this position. Information must be exchanged using tact and persuasion appropriately. The person in this position must be able to communicate with the patients, staff, and others; and contribute to a positive environment. Bilingual English Spanish Preferred
Key Responsibilities
- Responsible for obtaining imaging referrals & diagnostic authorizations for a fast paced, multi-specialty medical clinic in a timely manner
- Ensure complete and accurate registration, including patient demographic and current insurance information
- Ability to read medical records to gather supporting documentation for services requested
Assemble information concerning patient’s clinical background and referral needs per guidelines
Complete prior authorization process for diagnosticsUtilize insurance web portals to obtain referrals or authorizationsCommunicate status of all outstanding authorizations
Schedule diagnostic testing as requested and documents in patient’s chart accordinglyExemplary customer service, and ability to build rapport with other physician officesMaintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safetyContact insurance companies to ensure prior approval requirements are met.Present necessary medical information such as history, diagnosis, and prognosis
Provide specific medical information to financial services to maximize reimbursementReview details and expectations about the referral with patientsBe the system navigator and point of contact for patients and families, answer questions and concernsAdvocate role on the patient’s behalf with the carrier to ensure approval of the necessary supplies / services for the patient in a timely fashion
Remind patients of scheduled appointments via mail or phoneFollow up on referrals to ensure patients are keeping the appointments as scheduled
Request medical records / reports and tracks to ensure that records / reports are received in a timely mannerEnsure that patient’s chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their healthQualifications
Requires a high school diploma or equivalentExcellent customer service and communicationKnowledge of Medical Terminology requiredKnowledge and Experience with EHR requiredKnowledge and experience with Microsoft Office, Word, and ExcelOne to three years of progressive referral / authorization coordinator experience a plusPhysical Requirements
Level 2 background clearance requiredProof of immunizations for (1) Tdap, (2) MMR’s, HEP B vaccination, and either a history of chicken pox (varicella), or documentation of the varicella vaccine, a PPD Test is done once upon hireWFHC reserves the right to change or modify the job description, including but not limited to Major Responsibilities, Education, Certification, and Physical Requirements.
WFHC is an EOC.