Referral Intake Specialist-ORC

Loma Linda University Health

Loma Linda, CA
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Location
Loma Linda, CA
Posted
Oct 26
2 days ago
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About the company

Loma Linda University Health

Hospital & health care · 5,001 to 10,000 employees

Loma Linda University Health on LinkedIn

What you'll do

  • Review and analyze patient referrals for preauthorization, concurrent review and case management
  • Obtain benefits and eligibility as well as authorizations or pre-certifications
  • Schedule patient appointments as authorized
  • Educate and inform staff, physicians and the community about services offered
  • Maintain relationships with internal and external referral sources
  • Travel and complete a daily distribution/pick up run to providers
  • Provide necessary updates to referring specialties

What you need

  • High School Diploma or GED
  • Minimum one year of call center experience in a customer service, sales environment, or clinical experience
  • Excellent customer service and good communication skills, with emphasis on telephone etiquette
  • Able to communicate effectively in English in person, in writing, and on the telephone
  • Able to use computer, printer, and software programs necessary to the position
  • Minimum three years of experience in healthcare customer service call center (preferred)
  • Spanish (preferred)

Key skills

Customer serviceCommunication skillsTelephone etiquetteEnglishSpanishWordExcelOutlookProblem solving

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Read the full posting here
Job Summary: The Referral Intake Specialist-ORC reviews and analyzes patient referrals for preauthorization, concurrent review and case management for outpatient and inpatient service areas. Obtains benefits and eligibility as well as authorizations or pre-certifications as required, schedules patient appointments as authorized. Educates and informs staff, physicians and the community about services offered. Maintains a working relationship with internal and external referral sources by traveling and completing a daily distribution/pick up run to providers. Allows Rehabilitation Services to stay in consistent communication with the referring specialties and providing necessary updates. This position serves all areas of Rehabilitation Services. Performs other duties as needed. Education and Experience: High School Diploma or GED required. Minimum one year of call center experience in a customer service, sales environment, or clinical experience required. Minimum three years of experience in healthcare customer service call center preferred. Knowledge and Skills: Able to demonstrate excellent customer service and good communication skills, with emphasis on telephone etiquette. Able to read; write legibly; speak in English (and Spanish preferred) with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook). Operate/troubleshoot basic office and patient care equipment required for the position; perform required patient care activities related to the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position. Licensures and Certifications: None.

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