What are the responsibilities and job description for the Referral Intake Specialist-ORC position at Loma Linda University Health?
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.
Our mission is to continue the teaching and healing ministry of Jesus Christ. Our core values are compassion, excellence, humility, integrity, justice, teamwork and wholeness.
Loma Linda University and Health System is an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Talent Acquisition at 909-651-4001 or 909-558-4006 (TTY).
