NHS Human Services, Inc.

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Referral Scheduling Specialist is a liaison between the providers and the patients. They are responsible for scheduling specialist and imaging appointments for Star Community Health patients. Collaborates with patients and specialty providers offices to get appointments in a timely manner. Obtains knowledge of patients’ barriers for attending an appointment and refers patient to the appropriate service for help. Responds to patient’s questions and needs by editing, canceling and rescheduling appointments according to department protocols. Completes insurance referrals or prior authorizations when necessary. Follow up with specialty offices and patient to ensure patient compliance with attending the appointment. Fluent with EMR to manage an active and fluid work queue of specialist referrals along with necessary documentation of closing the referral loop. Excellent verbal skills are required. Strong computer skills and attention to detail are required.

Please note the selected candidate and new hire will be an employee of Star Community Health and not St. Luke’s University Health Network. Star Community Health, affiliated with St. Luke’s University Health Network, is an organization comprised of community-based clinics and sites providing healthcare services to our local populations. New hire(s) will be recruited and hired via St. Luke’s University Health Network but will transition to become a Star Community Health employee following the commencement of new hire onboarding.

• JOB DUTIES AND RESPONSIBILITIES:

• Accurately completes the referral scheduling process with patient via telephone or in-person• Updates and or communicates correct patient information to appropriate staff, hospital departments, and computer systems. Works with coordinator, supervisor and managers for any scheduling, or insurance issues• Will meet with patients/patient family in person as needed• Ongoing knowledge of scheduling and registration procedures• Works with and communicates to departments regarding patients• Appropriately refers patients Social Work/Care Management/ Financial Counselors • Monitors and maintains worklists as assigned, by handling in a timely fashion and according to priority• Capable of switching between skillsets and outbound, inbound calling functions• Respond to patient’s questions and needs by editing, canceling and rescheduling appointments according to department protocols• Project a professional network image through phone interaction (PCRAFT Values)• Excellent customer service skills with the ability to maintain effective working relationships with patients and staff.• High level of skill in entering data into computer while conversing with patients and physician offices.• Provides educational information to the patient regarding their testing.• Completes pre-authorizations and insurance referrals for referrals and orders• Acquire and submit all necessary clinical information to insurance company needed to obtain prior authorization in a timely fashion• Obtains knowledge of any barrier’s patient may have whether transportation, insurance, or work schedule and educates patients on available services.• Maintains up to date knowledge on insurance guidelines for prior authorizations and referrals.

EDUCATION:

High School diploma or GED

TRAINING AND EXPERIENCE:

• Bilingual- Spanish preferred• Previous Call Center Experience• Medical Terminology • Knowledge of computer systems and programs such as Microsoft Office • Epic referral workflow experience preferred

Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer. (http://www.slhn.org/EOE)

Founded in 1872, St. Luke’s University Health Network (http://www.slhn.org/) (SLUHN) is a fully integrated, regional, non-profit network of more than 20,000 employees providing services at 15 campuses and 300+ outpatient sites. With annual net revenue of $3.5 billion, the Network’s service area includes 11 counties in two states: Lehigh, Northampton, Berks, Bucks, Carbon, Montgomery, Monroe, Schuylkill and Luzerne counties in Pennsylvania and Warren and Hunterdon counties in New Jersey. St. Luke’s hospitals operate the largest network of trauma centers in Pennsylvania, with the Bethlehem Campus being home to St. Luke’s Children’s Hospital.

SLUHN is the only Lehigh Valley-based health care system to earn Medicare’s five-star ratings (the highest) for quality, efficiency and patient satisfaction. It is both a Leapfrog Group and Healthgrades Top Hospital and a Newsweek World’s Best Hospital. The Network’s flagship University Hospital has earned the 100 Top Major Teaching Hospital designation from Fortune/Merative 11 times total and eight years in a row, including in 2023 when it was identified as THE #4 TEACHING HOSPITAL IN THE COUNTRY. In 2021, St. Luke’s was identified as one of the 15 Top Health Systems nationally.

SLUHN has been named a Top Workplaces 2023 by the Morning Call. In addition, St. Luke’s has been named a Top Workplace nationally, in the Philadelphia region, and in New Jersey. St. Luke’s is the ONLY healthcare institution in Pennsylvania and the third-highest ranked healthcare entity in the nation to be deemed a Top Workplace in 2023. In 2023, St. Luke’s was named one of America’s Best Employers for Women by Forbes. St. Luke’s was the only employer in the Lehigh Valley to be named to the list and was one of only two healthcare employers in Pennsylvania to receive the designation. St. Luke’s University Health Network is the top-ranked Lehigh Valley-based employer in Forbes Magazine’s ranking of employers in Pennsylvania.

Learn More Here. (http://www.slhn.org/About)