Apolis · 1 day ago
Referral Services Specialist
Apolis is a healthcare organization seeking a Referral Services Specialist to provide clinical and financial care coordination services. The role involves evaluating care options and coordinating services to meet individual healthcare needs, promoting cost-effective outcomes.
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Responsibilities
Assess individual and family needs
Facilitate the development of interdisciplinary care plans
Coordinate care across multiple service sites
Evaluate the effectiveness of services
Negotiate resources to support optimal outcomes
Direct patient admissions and manage the intake process
Collaborate with physicians and physician extenders to review medical admitting information
Assess medical necessity
Ensure appropriate and complete documentation
Qualification
Required
2–3 years of experience in scheduling, case management, or utilization review
Bilingual in English and Spanish
High school diploma or equivalent
Experience with document review and identifying missing documentation
3 years of healthcare experience
Strong organizational and time-management skills
Demonstrated excellent customer service skills
Excellent verbal and written communication skills
Proficiency in using computer systems and required equipment relevant to the role
Preferred
Graduation from an accredited Medical Assistant or LVN program
1 year of experience in scheduling, case management, or utilization review