Referral Specialist

at  Methodist Health System

Hours of Work :
40/ weekly
Days Of Week :
5
Work Shift :
8X5 Day (United States of America)
Job Description :
Your Job:
The Referral Specialist will provide support to all Methodist Medical Group clinics, referral department management, STAFFnd ongoing referral network development strategies. Referral Coordinator will serve as a reserve point of contact into the Methodist Medical Group clinics as it relates to incoming calls, appointment scheduling, and follow up calls related to coordination of care. Referral Coordinator will also serve as a liaison between the referral departments, Methodist Medical Group clinical practices and associated medical neighborhood.
Your Job Requirements:

EDUCATION

High School Graduation or GED required; college degree a plus. Diploma from an accredited medical assist program or equivalent clinical program required. Position requires an individual with diverse skills. Individual must be able to work on discrete tasks in a high volume, high-pressured environment. Good judgment and professional demeanor is a must.

EXPERIENCE AND SKILLS

5+ years of professional medical knowledge in a practice setting is preferred. Front and back office experience a plus.

• Marketing experience a plus.
• Strong EMR/HER and Microsoft office experience
• Bilingual a plus.

Your Job Responsibilities:

Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:

• 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023
• Top 10 Military Friendly® Employer, Gold Designation, 2023
• Top 10 Military Spouse Friendly® Employer, 202

• Offers exceptional customer service while performing tasks professionally and with a positive attitude. Has the ability to handle multiple tasks. Must be able to research required information using available resources. Capable of handling and resolving customer issues. Must be able to identify and escalate priority tasks per department workflows.
• Advise management of potential problems or concerns in the department. Reviews requests from internal and external clients regarding referral issues, scheduling, messaging and tasking as directed in an effort to ensure accurate information is being obtained and documented within the department guidelines. Provides assistance in problem solving and issue resolution via email, phone calls etc.
• Assist in maintaining accurate department training tools, keeping up with day to day guidelines, protocols, and reference documents including distribution of all updated resources.
• Demonstrates the ability to complete Non-Urgent referrals process. This includes but is not limited to an expert knowledge of the workflow processes required to complete Non-Urgent referrals within expected timeframe.
• Demonstrates the ability to complete 3-Day Urgent referrals process. This includes but is not limited to an expert knowledge of the workflow processes required to complete 3-Day Urgent referrals within expected timeframe.
• Demonstrates the ability to complete STAT referrals process. This includes but is not limited to an expert knowledge of the workflow processes required to complete STAT referrals within expected timeframe.
• Demonstrates the ability to complete Diagnostic referrals process. This includes but is not limited to a good working knowledge of the workflow processes required to complete Diagnostic referrals within expected timeframe.
• Demonstrates exceptional integrity, knowledge, and project management skills required to complete special department projects assigned by management. Ability to self-manage without direct supervision.
• Ensures all requested patient referrals are completed within the established department time-frame criteria. Interacts with office management, specialist staff, and insurance companies in order to accurately and efficiently process physician referral requests in an effort to provide high quality patient care.
• Coordinates the efforts of the referral management department, verifies patients have scheduled appointments with the specialty providers, and provides patient addresses, phone numbers, and authorization referral forms to specialists as necessary.
• Demonstrates ability to organize, analyze and report organizational referral management statistics on a regular basis. Furthermore, leverages prepared reports to enhance referral network development strategies through routinely scheduled meeting with Methodist Medical Group clinical practices and associated medical neighborhood.
• Faxes (eFax) completed specialist referral form, lab results, patient demographics, test data and primary care notes to other physicians and patient service consultants as necessary and directed. Documents all encounters with patients and physicians within EHR system. Logs all referrals into EHR system and monitors status to ensure timely completion. Makes outbound calls as needed to complete assigned tasks related to referrals.
• Serves as reserve point of contact into the Methodist Family Health Centers and Methodist Medical Groups as it relates to incoming calls, appointment scheduling, and follow up calls related to coordination of care. Maintains strictest confidentiality while attempting to provide first call resolution. Screens calls, takes messages when applicable, and conveys information to appropriate parties in accordance with department workflows.
• Complies with all administrative workflows of the referral department. Maintains and follows all policies and procedures of organization and those specific to Methodist Medical Group.
• Communicates to management any issues or delays that may directly impact patients quality of care and customer service.
• Willingly participates in continuing education and other applicable activities to maintain professional competence.
• Works collaboratively with other members of the department to cultivate a team approach focused at achieving the highest quality of patient care and staff cooperation.
• Performs other tasks as assigned by management.
• Flexible work schedule may be available per business needs.

Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace:

• 150 Top Places to Work in Healthcare by Becker’s Hospital Review, 2023
• Top 10 Military Friendly® Employer, Gold Designation, 2023
• Top 10 Military Spouse Friendly® Employer, 2023