1-3 years of experience
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Employment Type:
Full time
Job Category:
Health Care Provider
Referral Specialist
(This job is no longer available)
Grad Date

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Job Description

Alliance Healthcare Solutions is seeking a patient referral specialist for a 3 month assignment, with possibility of a permanent position.

Please see some details below and apply today!

Referral Specialist

SUMMARY: Coordinates patient referral process for specialty care as determined by the clinic's medical providers, maintaining an established system of patient tracking and reporting.

1. Coordinates all referrals to specialist practices and local-regional healthcare services.
2. Process referral requests via patients or medical providers.
3. Provide appropriate customer service and answer patient inquiries.
4. Maintain established tracking system of referrals--both external and internal.
5. Provide information and support to medical providers regarding patient referrals.
6. Ability to use sound judgment with patient scheduling efforts and utilization of resources.
7. Documents and traces interaction with clients and appointments, assisting with data entry.
8. Perform other duties as may be delegated by the Chief Compliance Officer or designee.
9. Obtain current identification for managed care, prepare pre-certification as required including patient diagnosis as documented by primary care physician (20%)
10. Make appointments and request follow-up information (15%)
11. Review and explain process for referral to patient, including but not limited to what to expect, who providers are and how to get to hospital or referral specialist's office (10%)
12. Review rejected requests for procedures or visits (5%)
13. Maintain up-to-date knowledge of referral guidelines, active providers, necessary coverage information, insurance requirements necessary for pre-certification (5%)
14. Maintain adequate records for risk management on referrals completed of patients needing to be seen outside of clinic (5%)
15. Compile monthly report for administrative review.
16. Mail, fax or communicate appropriate records, certificates and authorizations to appropriate persons for the completion of the referral process (5%)

1. General knowledge of the various specialty medical services in the North East-Ohio area.
2. Knowledge of medical terminology
3. Excellent organizational skills including oral and written communication skills.
4. Ability to work independently; excellent interpersonal skills; basic computer skills.
5. Ability to relate to people from a variety of socio-economic and ethnic backgrounds.
6. Prior medical office experience required with 1-3 years of related medical office and/or community experience
considered. Must be self-motivated and organized.
7. Previous referral experience preferred.
8. Must be multi-tasked and complete duties with minimal supervision.


Applicants must be eligible to work in the specified location

About Alliance Healthcare Solutions

THISA, the Trusted Healthcare Information Solutions Alliance, is a national network of regional solution providers dedicated to delivering high-confidence information solutions to healthcare organizations looking to reduce costs, improve convenience, and maintain compliance. By standardizing methodologies and providing access to the latest technologies, in-depth training and support resources, the THISA alliance has created a new class of healthcare solution providers, able to respond quickly to changing technology and client challenges. From strategic risk analysis to comprehensive identity access management solutions to enterprise infrastructure design, THISA partners offer the highest level of technical expertise, strong customer commitment, and the ability to deliver on time, in scope, and on budget -- every time.