Referral Specialist

JOB TITLE – REFERRAL SPECIALIST
HOURS M-F: 8:00 AM – 5:00 PM
SUPERVISOR: Director of Billing Services
SALARY Commensurate with Experience
FULL TIME POSITION – REPLACEMENT
POSITION DUTIES/RESPONSIBILITIES: Initiates and manages all components of clinical referrals for
various services. Coordinates flow of information between medical clinic and referral authorization
department to secure valid referrals timely for clinic patient. Schedules and notifies patients of all
applicable appointments. Verifies insurance coverage and obtains authorizations, if needed, from
insurance plans. Notifies registration staff to update insurance coverage as needed. Maintains proper
documentation and management of the pre-authorization/referral information (faxing, scanning, etc.).
Documents clear information in Referral Notes on any transactions pertaining to referral or authorization
processes using correct spelling and grammar skills. Learns and implements all policies and protocols as
directed. Keeps informed of changes and updates for insurance plan policies for Authorizations and
Referrals. Able to manage multiple priorities and manage stress appropriately. Communicates
appropriately and clearly with a pleasant and professional manner to all. Demonstrates excellent
judgment in handling situations not covered by written or verbal instructions. Demonstrates a
commitment to the mission, core values, and goals of Family Health Center and its healthcare delivery
including the ability to deliver exceptional patient focus with quality, compassion and respect.
REQUIRED EDUCATION, TECHNICAL TRAINING OR EQUIVALENT: High school diploma or
equivalent required, College Hours and/or Referral/Authorization Experience preferred, Bilingual in
Spanish and English helpful
REQUIRED EXPERIENCE OR SKILLS: Computer literacy, Excel, Medical Terminology, Knowledge
of ICD-10/CPT coding, Medical office billing and collection practices, Federal/state/local financial
assistance programs, Strong interpersonal, oral and written communication, Excellent telephone skills and
strong customer service focus
TO APPLY: Please visit our website at www.wacofhc.org and fill out an online application located under
Careers.