Oncology Referral Specialist at Rochester Regional Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

22 Mar, 26

Salary

24.0

Posted On

22 Dec, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Communication, Interpersonal Skills, Patient Coordination, Referral Processing, Authorization, Documentation, Medical Knowledge, Teamwork, Independent Work, Fast-Paced Environment

Industry

Hospitals and Health Care

Description

Job Title: Oncology Referral Specialist Department: Oncology Location: Lipson Cancer Institute - Rochester General Hours Per Week: 37 Hours Schedule: Monday - Friday 7:30AM - 3:30PM or 8AM - 4:30 PM Sign-On Bonus: $0 SUMMARY: The Oncology Referral Specialist will act as an initial contact for patients, family, community members, and referral sources for cancer center patients or patients at a high risk for cancer. Coordinate with administration systems, processes and procedures in the health system to ensure appropriate evaluation, care and referrals. The referral specialist will focus on patient centered referral process at the cancer center by following all active referrals and ensuring patients are seen in a timely fashion. The specialist will be responsible to process, track and obtain authorization for all incoming and outgoing referrals. Unit/Department Specific Info> RESPONSIBILITIES: Provide telephone and in person screening and initial contact with referral sources and potential patients. Coordinates the intake and referral process, determines priority needs for assessment Provides coordination of testing to be performed with physician, patient, facility and payer. This includes reviewing medical documents for clarity, ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing. Refers self-pay and out-of-network patients to the appropriate resource to help with payment. Complete pre-certification/authorization with the patient’s insurance company providing any necessary documentation. Document authorization/pre-certification once received along with contact information of the person spoken with. Contacts the patients and notifies them of the scheduled procedure and all necessary instructions. Actively monitor the attendance of and follow-up of referred appointments. Monitor statistics and volume of patients testing and physician appointments REQUIRED QUALIFICATIONS: 3 years of experience in a health care setting. PREFERRED QUALIFICATIONS: Associate's Degree in a related field HS diploma or equivalent Excellent communication and interpersonal skills Ability to Undertake a variety of diverse tasks and work in a multidisciplinary team. Ability to think and work independently and with direction, and communicate with staff members in a fast- paced environment. EDUCATION: LICENSES / CERTIFICATIONS: PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations. PAY RANGE: $19.00 - $24.00 CITY: Rochester POSTAL CODE: 14621 The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law. Rochester Regional Health is an integrated health services organization serving the people of Western New York, the Finger Lakes, St. Lawrence County, and beyond. The system includes nine hospitals; primary and specialty practices, rehabilitation centers, ambulatory campuses and immediate care facilities; innovative senior services, facilities and independent housing; a wide range of behavioral health services; and Rochester Regional Health Laboratories and ACM Global Laboratories, a global leader in patient and clinical trials. It’s vision is to lead the evolution of healthcare to enable every member of the communities it serves to enjoy a better, healthier life.

Responsibilities

The Oncology Referral Specialist will coordinate the intake and referral process for cancer center patients, ensuring timely evaluations and care. Responsibilities include processing referrals, obtaining authorizations, and monitoring patient appointments.