Referrals Representative

We are seeking Referrals Representatives to join our CHC family. The Referrals Representative is responsible for the day-to-day processing or all aspects of the patient referral process, and the forwarding of patient records as requested and according to policies and procedures. Location TBD.

Education & Experience

• High School Diploma or GED
• Six months experience in a medical office setting using computers and medical office software application and providing service to internal and external customers.

Knowledge, Skills & Abilities

• Ability to understand and follow strict confidentiality policies and procedures.
• Ability to convey detailed information, ensuring others understand.
• Ability to give full attention to what others are saying, understand the points being made and asking appropriate clarifying questions.
• Ability to work and problem solve on an individual level as well as part of a team.
• Strong organization, prioritization and time management skills.
• Ability to operate standard office equipment including fax machines, copiers and computers.
• Ability to electronically file information and retrieve electronic files quickly and accurately.

Essential Duties

• Locate, retrieve, prepare and deliver patient information in electronic, Faxed or paper form.
• Review referrals for completeness, accuracy and compliance with regulations.
• Protect the security and confidentiality of patient records and related patient health information according to CHCB policies and procedures.
• Monitor the Electronic Practice Management (EPM) and Electronic Medical Record (EMR) tasking.
• Classify, store, analyze and destroy patient health information records per CHCB regulations.
• Prioritize referrals based on urgency, schedule appointments, conduct preauthorization's /precertification's, and document approved and denied pre-authorizations / pre-certifications.
• Train nursing staff to assist with referrals as needed.
• Keep supervisor informed of workload and work backlog as appropriate.