Referral Representative (51844)

As a Referral Representative, you will act as a liaison between patients, our providers, and specialty sites; check patient eligibility and maintain accurate and timely documentation. This position will report to the Assistant Site Operations Director.

JOB RESPONSIBILITIES:

• Organizes appropriate referrals to specialists and remains a resource for patients and staff regarding the referral agencies and process.
• Checks Medicaid, Medicare, and private insurance websites for patients provider coverage.
• Completes referral information for patients as requested by the Providers.
• Maintains and updates referral resource binder.
• Manages open referral orders by finding documents and follows up with all parties involved.
• Assists with patient phone calls and questions.
• Follows up with specialty clinics to coordinate patients medical information flow.
• Maintains accurate and timely documentation.
• Obtain prior authorization for specific testing.
• All HealthLinc staff is committed to engage in quality improvement initiatives that align with and support Patient-Centered Medical Home (PCMH).
• Perform other duties as assigned.