Employment Type:

Shift:

Description:

We are looking for a Healthcare Resource Specialist to join our referral team, providing exceptional customer service to our patients, facilitating the transfer of care between primary care providers and specialists. You will work full-time Monday-Friday during typical office hours.

In this position, you will collaborate with multiple clinics to best utilize resources while accommodating physician preference and patient needs consistent with Saint Alphonsus values and missions. You will support all of the clinic departments and must navigate and negotiate successful tracking and coordination of referrals; it requires highly technical clerical tasks.

You will use various software platforms. Your priority is ensuring patient information is accurately collected to facilitate the referral process and providing quality service to physicians related to patient information and communication needs. 

About This Position: This work is done primarily over the phone, in a non-clinic setting. To be successful in this position, you must have a strong passion for customer service as well as working within a team. Training will be up to 6 months, with the move to independent work based upon the decision of the Supervisor and business needs.
 

GENERAL REQUIREMENTS

Education:

• High School Diploma or equivalent required

Experience:

• Previous experience in hospital, medical or insurance office setting preferred.

• Working knowledge of medical terminology and the healthcare system (insurances, Medicare, Medicaid, physician office operations) preferred.

ESSENTIAL FUNCTIONS:

• Knows, understands, incorporates, and demonstrates the Organizational Mission, Core Values, and Vision in behaviors, practices, policies and decisions. 

• Provide excellent customer service to patients, physicians and staff to maintain and promote positive relationships. 

• Interact over the phone with Saint Alphonsus patients and physician offices in order to effectively and efficiently process referrals.

• Ability to work independently with minimal supervision; as well as part of a team working with others to solve problems, improve workflow, assure back-up, and achieve an enjoyable work atmosphere.

• Work as part of a team with demonstrated listening skills, independent problem solving, and decision-making abilities and has the ability to use critical thinking skills.

• Computer skills including MS Office products and Insurance site management.  EPIC preferred. Must be able to work in multiple software applications and electronic health record systems simultaneously.

• Well-developed English verbal and written communication skills to portray a professional customer image.

• Performs accurate and timely entry of referral information. 

• Communicates directly with patient and/or family and referring clinic.

• Maintain ongoing tracking and appropriate documentation on referrals to ensure timely processing and patient safety.

• Collects and validates patient information.

•  Contact insurance companies to ensure prior approval requirements are met.

• Informs patient/physician offices of referral status.

• ­Maintains confidentiality of all patients according to HIPAA standards.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.