Referral Specialist


Location: Albany, NY

GENERAL RESPONSIBILITIES:

The Referral Specialist serves as an integral part of the Practice Team conducting pre-visit planning, population management activities, referral and transition of care coordination and by providing general support to the Practice Team.


SPECIFIC RESPONSIBILITIES:

· Timely scheduling and tracking of recommended diagnostic imaging 

· Schedule appointments with indicated specialist.

· Provide appropriate clinical information to specialists, per referral guidelines. 

· Notify patients of the details and expectations for the visit (date, time, if special instructions indicated).

· Confirm complete and accurate registration information, including patient demographic and current insurance information.

· In select cases, remind patients of scheduled appointments via mail or phone.

· Follow-up on no-show patients at the specialists practice.

· Ensure that referrals are addressed in a timely manner.

· Maintain ongoing tracking and appropriate documentation on referrals.

· For designated providers, contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis.

· In collaboration with the clinical and care coordination team, identifies patients in need of care and proactively contacts and schedules appointments for the patients.

· Involved in department performance improvement initiatives.

· Demonstrates excellence in both internal and external customer service.

· Understands and is able to effectively communicate HIPAA compliance, corporate compliance and client confidentiality.

· Ensures and/or remains in compliance with local, state, and federal regulations.

· Adheres to the National Patient Safety Goals as defined by the Joint Commission and the Whitney M. Young Jr. Health Center.

· Completes other duties as assigned.

Requirements

MINIMUM QUALIFICATIONS: 

High School Graduate / Equivalent with one (1) year experience in a health care setting. Able to take and follow through with delegated tasks and accountability. Ability to demonstrate excellent customer service and strong cultural competency. Teamwork orientation.


PREFERRED QUALIFICATIONS:

Three (3) years’ experience in a health care setting. 


 Please be aware that as a facility regulated under Article 28 of the New York State Public Health Law, COVID-19 vaccination is a requirement of employment. Whitney Young Health also requires the COVID-19 booster.


All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other legally protected status.

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