Imaging Referral Specialist

Job Description

Job Description

Imaging Referral Specialist

The Imaging Referral Specialist is responsible for clinical referrals with particular focus on Imaging requests for patients. The Imaging Referral Specialist is charged with the timely and accurate scheduling of all clinical imaging referrals, as requested by the patient’s primary care provider.

Communication

Good oral and written communication skills are required for this position. Information must be exchanged using tact and persuasion appropriately. The person in this position must be able to communicate with the patients, staff, and others; and contribute to a positive environment. Bilingual English Spanish Preferred

Key Responsibilities

• Responsible for obtaining imaging referrals & diagnostic authorizations for a fast paced, multi-specialty medical clinic in a timely manner
• Ensure complete and accurate registration, including patient demographic and current insurance information
• Ability to read medical records to gather supporting documentation for services requested
  1. Assemble information concerning patient’s clinical background and referral needs per guidelines
• Complete prior authorization process for diagnostics
• Utilize insurance web portals to obtain referrals or authorizations
  1. Communicate status of all outstanding authorizations
• Schedule diagnostic testing as requested and documents in patient’s chart accordingly
• Exemplary customer service, and ability to build rapport with other physician offices
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety
• Contact insurance companies to ensure prior approval requirements are met.
  1. Present necessary medical information such as history, diagnosis, and prognosis
  2. Provide specific medical information to financial services to maximize reimbursement
• Review details and expectations about the referral with patients
• Be the system navigator and point of contact for patients and families, answer questions and concerns
  1. Advocate role on the patient’s behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion
• Remind patients of scheduled appointments via mail or phone
  1. Follow up on referrals to ensure patients are keeping the appointments as scheduled
• Request medical records/reports and tracks to ensure that records/reports are received in a timely manner
• Ensure that patient’s chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health

Qualifications

• Requires a high school diploma or equivalent
• Excellent customer service and communication
• Knowledge of Medical Terminology required
• Knowledge and Experience with EHR required
• Knowledge and experience with Microsoft Office, Word, and Excel
• One to three years of progressive referral / authorization coordinator experience a plus

Physical Requirements

• Level 2 background clearance required
• Proof of immunizations for (1) Tdap, (2) MMR’s, HEP B vaccination, and either a history of chicken pox (varicella), or documentation of the varicella vaccine, a PPD Test is done once upon hire

WFHC reserves the right to change or modify the job description, including but not limited to Major Responsibilities, Education, Certification, and Physical Requirements.

WFHC is an EOC.

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