Referral Management Specialist I

Job description

Min USD $16.50/Hr. Max: USD $24.82/Hr. Overview: The Referral Management Specialist I reports to the Manager of Ambulatory Care Management. Under general supervision, the Referral Management Specialist I will utilize tools designed to facilitate the referral process and schedule appointments for multiple specialties for Memorial Care primary care patients. Working primarily in an office setting, the Referral Management Specialist I will partner with the Primary Care Physician team to provide a resource for timely referrals that will increase clinical and operational processes which will positively impact patient safety and quality. The Referral Management Specialist I will ensure timely arrangement of appointments at specialty clinics, ensure primary care provider preferences are met when possible, ensure payer requirements for referrals are met, complete necessary payer prior authorizations, and communicate appointment details to patients, primary care providers, and specialty offices. The Referral Management Specialist I will follow all applicable regulations, policies, and guidelines to ensure compliant and appropriate management of patient referrals to specialty care. - Full ti...