Referral Specialist jobs in Waukesha, WI

Benefits of the Referral Specialist position:

• Health Insurance
• Paid Time Off
• Great Work Environment
• 401k matched at 10%
• Flexible Hours (8 hour shifts)
• Paid Holidays

Our Bedrock Health Care Centers make it top priority to care for seniors with the respect, compassion, and dignity they deserve. We understand that caring is what makes a community and without a sense of caring, there can be no sense of community. It is what sets us apart from any other Healthcare Center. At our facilities, our nursing staff are overly courteous, respectful and maintain a high level of professionalism at all times. Our primary goal is to get you back in a condition to be independent once again while maintaining a friendly environment and providing nutritionally enhanced meals. We are currently recruiting for a Referral Specialist to join our team!

Referral Specialist Responsibilities

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Ensure complete and accurate registration, including patient demographic and current insurance information.
• Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
• Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
• Review details and expectations about the referral with patients.
• Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
• Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
• Ensure that referrals are addressed in a timely manner.
• Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.

Referral Specialist Qualifications

• High school diploma, sometimes combined with medical assistant certification
• Strong customer service focus
• Effective verbal and written communication skills
• Teamwork orientation
• Organized and able to manage competing priorities
• Resourcefulness in problem solving
• Able to take and follow through with delegated tasks and accountability