Community Referral Specialist

Requirements

• Review patient referrals and respond on behalf of PruittHealth
• Accurately complete referral documentation
• Manage incoming calls and respond before the third ring
• Assign the appropriate next person in the referral management process
• Verify insurance and eligibility
• Work closely with clinical team until admission is scheduled
• Collaborate with revenue cycle team to ensure understanding of payors and requirements
• Escalate issues or barriers to manager
• Review physician orders and follow up with referral source for clarifications
• Identify objections, concerns, or other entry barriers and provide information in response
• Process and document referrals that are not accepted for admission
• Access multiple electronic health systems to receive referrals
• Understand daily agency statuses and manage points of contact across assigned agencies
• Partner closely with sales partners, admins, and clinical managers
• Support further processing referrals, vet payors, and conduct welcome calls
• Perform other related duties as necessary and as directed by supervisor