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Referral Specialist

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  • Posted 16 hours ago
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Job Description

REFERRAL SPECIALIST

At Author Health, we're revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults.

We don't just treat symptoms. We treat people — fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives.
 

At Author, inclusivity isn't a checkbox. It's how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient's experience, and we're creating a workplace where team members can show up as their full selves, too.

If you're driven by purpose, ready to shake up the status quo, and eager to make a real impact on people's lives, we'd love to meet you. Let's build the future of mental health care together!

Position Overview:

The Referral Specialist at Author Health manages the intake, verification, and coordination of physician referrals to ensure accurate and timely patient onboarding. This role is responsible for processing referrals received across multiple channels, validating patient and insurance information, and facilitating efficient handoff to downstream teams.

Role Classification: Non-technical

Roles and Responsibilities:

  • Ensure complete and accurate patient set-up for newly referred patients, including the collection of patient demographics, clinical background, across various modalities that referrals get sent to Author Health (e.g., fax, email, Leading Reach, website, Direct Messages in Elation)
  • Perform comprehensive verification of current insurance information, specifically navigating Medicare Advantage plan requirements to ensure coverage accuracy
  • Identify and confirm referral sources and trigger corresponding outreach workflows, ensuring that referrals are addressed in a timely manner
  • Serve as referral coordination subject matter expert for internal and third-party stakeholders: handle requests to provide relevant information and data, confirm when patient information / registration is complete, and share key updates with referring sources
  • Work with partners (e.g., community-based organizations, PCP clinics, etc.) to refine engagement approaches and strategies as required (i.e., for patients with missing/incorrect contact information)
  • Review details and expectation of referral with potential patients as required

Required Qualifications:

  • Graduate of any Healthcare Allied degree
  • At least 1 year of experience in U.S. healthcare
  • Proficiency with technology platforms and EMRs required
  • Must be willing to work in Makati or Pasig Office
  • Amenable to work Monday to Friday on US business hours
  • Willing to work full-time onsite

Attributes:

  • Ability to lead independently, self-starter, takes initiative, comfort with ambiguity and working in a nascent environment
  • Strong customer service focus
  • Effective verbal and written communication skills
  • Teamwork oriented
  • Organized, highly detail oriented, and able to manage multiple priorities
  • Resourcefulness in problem solving
  • Able to take and follow through with delegated tasks

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About Company

Job ID: 147333633