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Under immediate supervision, facilitate tertiary and quatenary care referrals from multiple hospitals. Respond to phone calls received to the Call Center; responds with information ,assistance, or transfers the call to appropriate person or department; records information regarding calls into a database; assist with marketing projects or department related activities
General knowledge of Health Insurance and prior authorization and referral processes
Strong organizational and planning skills
Strong verbal and written communication skills
Interpersonal/human relations skills
Attentiveness to detail
Ability to maintain confidentiality and professionalism
Strong Microsoft Office knowledge
High school diploma; 1 or more years of college with two (2) years Healthcare Industry experience required
Prior Customer Service-Call Center experience desired
Medical Terminology required
Support patient referrals and authorizations by completing and submitting documents.
Schedule and confirm patient appointments based on the referral requirement. Maintain referral records and reports on data. Ensure follow-up on referrals.
Respond to caller general information request and/or inquiries; refer caller to the best qualified area. Tracks calls appropriately; gathers necessary demographic or other pertinent information and enter into database.
Discuss referrals with the referring Hospital, Physician, Insurance Company and Patients.
Assist marketing department with event registration, coordination and reporting.
Support designated offline functions including but not limited to request received by fax, email or mail box for; appointment cancellation request, hospital discharge request, new patient EPIC/EHR Customer Service Request and Non SLUCare Physician Referrals.
Maintains physician and clinical service information, as well as information regarding studies and special programs.
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