Oncology Referral Specialist | Full Time Days | Lipson Cancer Institute - St Mary's in ROCHESTER, New York at Rochester Regional Health

Key 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
• Other duties as assigned

Minimum Qualifications:
Required - 3 years of experience in a health care setting.

Desired Attributes:

• 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.

• Top candidate will have previous Medical Office experience

Required Licensure/Certification:
NA