Oncology Referral Specialist

Rochester Regional Health; Rochester; On-site; GBP 60,000 - 80,000; Full time

Job summary

A healthcare organization in Rochester is seeking an Oncology Referral Specialist to serve as the initial contact for patients and referral sources. The role involves coordinating referrals, obtaining insurance authorizations, and ensuring patients receive timely care. Applicants should have at least 3 years of experience in healthcare, along with strong communication skills and the ability to work effectively in a team. This position offers a salary range of $19.00 to $24.00 per hour.

Qualifications

• 3 years of experience in a health care setting.

Responsibilities

• Provide telephone and in-person screening and initial contact with referral sources.
• Coordinate the intake and referral process.
• Complete pre-certification/authorization with the patient’s insurance company.
• Actively monitor attendance of and follow up on referred appointments.

Skills

Excellent communication and interpersonal skills

Ability to work in a multidisciplinary team

Ability to think and work independently

Education

Associate’s Degree in a related field

High school diploma or equivalent

Job description

Job Title: Oncology Referral Specialist
Department: Oncology
Location: Lipson Cancer Institute - Rochester General
Hours Per Week: 37 Hours
Schedule: Monday - Friday 7:30AM - 3:30PM or 8AM - 4:30 PM
Sign-On Bonus: $0

SUMMARY

The Oncology Referral Specialist will act as an initial contact for patients, family, community members, and referral sources for cancer center patients or patients at a high risk for cancer. The specialist will coordinate with administration systems, processes and procedures in the health system to ensure appropriate evaluation, care and referrals. The role focuses on a patient‑centered referral process at the cancer center by following all active referrals and ensuring patients are seen in a timely fashion. The specialist is responsible for processing, tracking and obtaining authorization for all incoming and outgoing referrals.

RESPONSIBILITIES

• Provide telephone and in‑person screening and initial contact with referral sources and potential patients.
• Coordinate the intake and referral process, determine priority needs for assessment.
• Coordinate testing to be performed with physician, patient, facility, and payer; review medical documents for clarity and ensure all necessary clinical steps have been taken; work with necessary parties to obtain third‑party approval.
• Obtain all procedure and diagnosis codes to properly authorize/pre‑certify ordered testing.
• Refer 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.
• Contact patients and notify them of the scheduled procedure and all necessary instructions.
• Actively monitor attendance of and follow up on referred appointments.
• Monitor statistics and volume of patients testing and physician appointments.

REQUIRED QUALIFICATIONS

• 3 years of experience in a health care setting.

PREFERRED QUALIFICATIONS

• Associate’s Degree in a related field.
• High school 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.

PHYSICAL REQUIREMENTS

Sedentary work; exerting up to 10 pounds of force occasionally. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE

$19.00 - $24.00