Referral Specialist- Medical Office - Full Time - Mishawaka - Saint Joseph Health System
Company: Saint Joseph Health System
Posted on: September 6, 2019
Minimum $12.37 Maximum $17.94 JOB SUMMARY Performs clerical,
reception, scheduling and patient financial account functions.
Assists in coordinating primary health care services to a large
outpatient client population. Retrieves, reviews and assigns and/or
distributes all referrals/faxes. Verifies eligibility and status of
referrals when appropriate for the physician office and/or member.
JOB DUTIES Actively demonstrates the organization’s mission and
core values, and conducts oneself at all times in a manner
consistent with these values. Knows and adheres to all laws and
regulations pertaining to patient health, safety and medical
information. Schedules, reschedules and cancels patient office
visits as determined by physician preference and specific
ambulatory care setting procedures. May include scheduling of
referral tests and procedures ordered by the physician.
Knowledgeable of third party payor policies and procedures,
documentation requirements, and patient instruction procedures.
Maintains knowledge and skills of front office operations in order
to assist as necessary with reception, medical records, scheduling,
and billing functions Maintains a good rapport and cooperative
working relationship with all members of the medical office, other
medical offices, hospital services, and community agencies.
Maintains technological competencies, organization, and neatness in
the work area. Completes all mandatory in-services in required
timeframe. Regularly assists co-workers as needed. Utilizes
resources in a manner, which reflects an understanding of proper
stewardship. Receives and screens all incoming calls for
distribution to the nurse reviewer or appropriate department.
Verifies eligibility and status of referrals when appropriate for
the physician office and/or member. Maintains quality customer
service at all times with callers exhibiting courteous and
professional behavior. Demonstrates behaviors consistent with
identified competencies and job requirements (i.e., continuing
education, mandatory in-services, safety training, annual TB
testing and organizational integrity program). Notifies appropriate
personnel of equipment malfunctions and needed repairs. Acts as
liaison between provider offices, physicians, health plans and
other departments to ensure high quality customer service are being
delivered. Possess an ability to deal effectively in high stress
situations, to evaluate current processes for enhancement, and make
necessary recommendations. Maintains a working knowledge of each
product including, but not limited to, employer groups, benefit
plans, benefit limitations and additions. Accepts assignments of
additional duties when indicated to maintain department operations
Performs other duties consistent with purpose of job as directed.
JOB SPECIFICATIONS AND CORE COMPETENCIES Education: High school
graduate or equivalent is preferred. Previous training in general
medical office skills and procedures. Proficient and knowledgeable
of medical terminology. Licensure: None Experience: One to two
years experience is preferred. Recent physician office, hospital
business office or background in claims or customer service
required. Computer proficient and appropriate telephone etiquette
skills required. Other Job Requirements: Must be tactful in
handling patient problems often of a highly personal and
confidential nature. Must be able to maintain composure during
frustrating interpersonal situations. Sustained mental attention
required. Works under direct supervision, but requires independent
thinking and only unusual problems proceeding to the highest level.
Ability to adjust communication skills to the level of the patient.
Works with minimal assistance or supervision. Displays strong
problem solving skills and ability to multitask. Understands and
strives for providing excellent customer service. May need to
occasionally travel to other SJPN locations within the three county
area. Assigned hours within your shift, starting time, or days of
work are subject to change based on departmental and/or
organizational needs. We provide equal employment opportunities to
all employees and applicants for employment and prohibit
discrimination and harassment of any type without regard to race,
color, religion, age, sex, national origin, disability status,
genetics, protected veteran status, sexual orientation, gender
identity or expression, or any other characteristic protected by
federal, state or local laws. This policy applies to all terms and
conditions of employment, including recruiting, hiring, placement,
promotion, termination, layoff, recall, transfer, leaves of
absence, compensation and training.
Keywords: Saint Joseph Health System, Mishawaka , Referral Specialist- Medical Office - Full Time - Mishawaka - Saint Joseph Health System, Other , Mishawaka, Indiana
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