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Referral Specialist

Location: San Antonio, TX

Job Type: Direct Hire

Company: Leon Springs Family Practice Pa

Category: Non-Provider

Job Description Apply Now

Referral Specialist Overview

The Referral Specialist plays a vital role in supporting the administrative functions of a healthcare practice by efficiently managing patient referrals and coordinating specialist appointments. This full-time position is essential in ensuring patients receive timely and accurate care coordination, while maintaining strong communication with physicians, specialists, and patients. The Referral Specialist also provides high-quality patient support and reception duties, contributing to a seamless experience for all who interact with the practice.

Responsibilities

• Referral Management:
  • Process, track, and manage all patient referrals, adhering to insurance guidelines and requirements.
  • Obtain necessary authorizations and pre-certifications from insurance companies to facilitate specialist appointments.
  • Maintain accurate and up-to-date records of all referrals and related correspondence, ensuring confidentiality and compliance with healthcare regulations.
  • Communicate proactively with referring physicians, specialists, and patients to provide updates regarding the status of referrals.
  • Troubleshoot and resolve referral issues efficiently, escalating complex cases to the appropriate personnel as needed.
  • Stay informed of evolving insurance requirements, referral procedures, and best practices in referral management.
• Patient Coordination and Reception:
  • Welcome patients and visitors with professionalism and courtesy, fostering a positive environment for all.
  • Handle incoming phone calls, schedule appointments, and respond to patient inquiries with clarity and accuracy.
  • Verify patient insurance details and demographic information, ensuring all documentation is current and complete.
  • Collect co-pays and process payments according to established protocols.
  • Prepare patient charts and ensure all necessary paperwork is completed prior to appointments.
  • Maintain a clean, organized, and inviting reception area that supports the overall patient experience.
  • Assist patients with questions and provide general information about the practice and available services.
  • Manage incoming and outgoing mail in a timely and organized manner.
• Additional Duties:
  • Perform other related tasks as assigned by management to support practice operations.
  • Actively participate in team meetings and ongoing training sessions to foster a collaborative and informed work environment.

Qualifications

• High school diploma or equivalent required.
• Demonstrated experience working in a medical office setting, with specific expertise in referral processing and patient coordination.
• Strong knowledge of medical terminology, insurance procedures, and HIPAA regulations.
• Excellent written and verbal communication skills, with the ability to interact effectively with diverse groups of patients and healthcare professionals.
• Proven ability to multitask, prioritize responsibilities, and adapt to a fast-paced work environment.
• Proficiency in electronic health records (EHR) systems, particularly AthenaHealth, and solid computer skills including Microsoft Office Suite.
• Ability to work independently as well as collaboratively within a team.
• Demonstrates a positive attitude and a strong commitment to delivering exceptional patient care and support.

The Referral Specialist position provides an excellent opportunity to contribute to the patient care experience and administrative excellence of a healthcare practice. Working in this role can offer a rewarding career path for those passionate about healthcare administration and patient service. The local community offers a welcoming environment for professionals seeking to make a positive impact in healthcare support roles.

Apply Now