Referral Specialist - Delta Health Orthopedics at Delta Health Orthopedics
Delta Health Orthopedics · Delta, United States Of America · Onsite
- Professional
- Office in Delta
The Referral Specialist processes referrals for specialty service office visits. Performs medical records activities including filing, pulling, and delivering medical records to the proper location and handling the information confidentially. Researches medical records to locate health data as requested. Maintains and utilizes a variety of health record indexes and storage and retrieval systems. Ensures referral information is complete and processes referrals and schedules patients in Athena.
Position Responsibilities:
- Gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient’s financial obligation for service.
- Acts as a liaison between hospital, clinical staff, health plans, providers, and patient to process referrals.
- Verifies insurance coverage and obtains required authorization when necessary.
- Documents referrals, communications, actions, and other data in the EMR.
- Generates and distributes all applicable forms, notification and paperwork.
- Assists the healthcare team in coordinating, prioritizing, and communicating patient, physician and staff needs.
- Follow up phone calls to patients - Outstanding labs, procedures, and scheduling referrals.
- Communicate with providers to correct any referral changes.
- Perform such other duties or projects as determined by manager
- Responsible for all aspects of clerical functions within the clinic to include: answering telephones, patient reminders, assisting visitors and family members, collection of payments, and scan, organize and upload all paper documents into the EHR.
- Prepares medical records files to release or transfer to providers, patients, insurance companies, and attorneys according to policy and procedure related to HIPAA compliance; Copies and distributes records as appropriate
- Help maintain the day to day scheduling of patient appointments.
- Responsible for extracting old records from EHR systems and adding items to Athena Health.
- Responsible for pulling health information from QHN and entering the data either as a structured data or as a formal document; extract old records from EHR, add details to Athena, and enter health history based off documentation.
- Fiduciary Responsibility. The Referral Specialist is a fiduciary of the organization, and is obligated to act in the best interest and for the benefit of the organization at all times.
