Referrals Specialist

Borinquen Medical Centers in based in Miami, FL and is seeking to hire a full-time Referrals Specialist. Under general supervision, The Referrals Specialist will be responsible to ensure patients have been cleared for specialty service office visits and track incoming consultations, as well as to schedule all referrals to outside clinics, I.E. Jackson, Bascom Palmer, etc.

TASKS AND RESPONSIBILITIES

• Work with referrals related to studies such as the following: Ultrasound, Mammograms, X-ray, MRI, MRA, CT scan, PET scan, Sleep Studies, Allergy, ENT, Colonoscopy, and Gastroenterology.
• Resolves pre-certification, registration and case related concerns prior to a patient's appointment.
• Gathers pertinent information from insurance carriers, financial counselors, and other ancillary staff to make certain the patient is not financially obligated for services provided.
• Coordinates and follow ups the appointments and the referrals to the hospital.
• Notify to the doctors the patients that missed their referral appointments.
• Attends meetings in reference to referrals and primary care clinic matters.
• Retrieves JMH appointment schedules and no-shows, results and distributes to providers accordingly.
• Registers, maintains and tracks all specialty appointment on JMH system.
• Counsels and provides patients with information or instructions related to the tests.
• Find outs information from the JMH.
• Assists in processing authorized referrals for enrollees.
• Ensures those functions are done within the established policies, procedures and guidelines of BHCC.
• Develops and maintains a professional rapport with health care providers in the community (i.e.: physicians, hospitals, ancillary staff and support staff).
• Assist the supervisor as unusual problems arise; Support staff in assigned project based work.
• Monitor fax for new referrals, document attachments, and results to scan into Athena or tie to current referrals.
• Received incoming STAT referral call from Providers, MA, Specialist and Hospitals.
• Accept difficult referral from processors.
• Takes incoming specialist call for Q/A, referral tracking result.
• Forwards referral sent in error and educate sender via phone.

REQUIREMENTS

• High School Diploma, or equivalent.
• 0-3 years of experience.
• Bilingual preferred.
• Strong interpersonal skills.
• Ability to interact effectively with consumers, administration, faculty, and staff.
• Handle the information with high level of confidentiality.

BENEFITS

• Medical/Dental/Vision/Short Term Disability
• Company paid long term disability
• Life insurance
• 401K Plan
• Standard Paid Holiday's
• Vacation and Sick Time
• Amazing Team & Atmosphere