Referral Specialist
Description

  

Job Summary:

Are you looking for a career that gives you a work-life balance and allows you to make an impact in someone else’s life? Does the work you do everyday matter to you? At Circle of Care Pediatric Home Health, the work our staff provides allows our therapists to create value in the homes of the children and families that we serve. You can make a difference every day. We are looking for dedicated and passionate employees to join our team!


The Referral Specialist provides the intake of referrals, pre-certification or verification of benefits, and physician orders. Provide information regarding services to providers and parents. Collaborate with the Marketing Department to promote our services. Serve as a liaison between, clinical field staff, patients, and physicians. Receive telephone intake orders and progress reports. Complete proper documentation in a timely manner.


The Referral Specialist’s primary responsibility is attaining authorization for therapy services provided by Circle of Care. 

 
 

Duties and Responsibilities:
 

  • Provide accurate intake information on all referrals
  • Obtain pre-authorization if required by the payor
  • Contact third-party payers to pre-certify and obtain benefit information as needed
  • Contact physicians for orders on all new referrals; contact physicians for approval and orders for changes in existing patient Plans of Treatment
  • Effectively track & document referrals to ensure services are rendered in a timely manner
  • Relay messages from field staff to office personnel as needed
  • Provide general information regarding home health services to the community and physicians
  • Disburse patient Initial Assessment visits to Clinical Field Staff
  • Notify the Administrator and Scheduling/Staff Coordinator regarding admissions, re-admissions
  • Provide a professional and consistent quality of performance in all assigned tasks
  • Maintain orders for clinical staff members following Agency policies and procedures
  • Prepare and provides a daily report to track all referrals, pending admits, and evals
  • Assist the authorization department in the verification of patient eligibility as needed
  • Additional responsibilities as requested
Requirements

  

Competencies:


Attention to detail

Excellent oral and written communication

Results Oriented

Customer Focus

Problem -Solving



Education and Experience:


Required


  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
  • Ability to write routine reports and correspondence.
  • Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
  • Able to travel to prospective patients’ residences, hospitals, and in the community.
  • Must be able to read 12-point or larger type.
  • Basic computer skills including Microsoft Office; Excel; Outlook.
  • Familiarity with medical terminology 
  • Ability to solve practical problems and deal with a variety of medical and community individuals
  • Ability to communicate effectively with the patient’s family, physicians, clinical field staff and other employees of the organization


Preferred


  • Minimum of one year experience in a referral role
  • Experience working in an administrative setting
  • Experience working in a growing organization 
  • Ability to speak Spanish 



EBH and Circle of Care provide equal employment opportunities to all employees and applicants for employment and prohibits 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. 

Salary Description
$17 to $18