Referral Coordinator
Referral Coordinator
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Job Description
Job Details
Description
Referrals Coordinator
Summary: The Referral Coordinator provides support to the clinic providers and back office nurses. The Referral Coordinator makes referrals and appointments on a daily basis with the providers and nurses consultation. The Referral Coordinator works closely with the client provider nurse and the insurance companies. The Referral Coordinator is responsible for maintaining high standards of care maintaining a positive caring professional attitude. Works well with all staff members and is an important part of the Northeastern Rural Health Care team. The Referral Coordinator reports to the Referrals Supervisor.
Reports to: Referrals Supervisor
Duties and Responsibilities:
- Check patient insurance and demographics
- Assign a specialty care facility/provider based on patients diagnosis
- Obtain authorization from the patients insurance for diagnostic imaging.
- Collecting and attaching all medical files relating to the patients diagnosis which may include an Intake and/or Authorization Form for certain facilities.
- Send Referrals to the rendering
- Send the letter to the patient with the facility and/or provider information to inquire about referral.
- Document status of referral in the Notes section.
- Perform 14 and 21 day follow-up on all processed referrals
- Performs other duties as assigned.
Qualifications
Required Skills/Abilities:
High school graduate or GED. One or more years of medical office experience and knowledge of medical terminology. Experience working with managed care/HMO/PPO insurances. Able to work with various insurance companies. Understand the concept of managed care and the referral system. Must have excellent telephone and customer service skills with the ability to maintain strict patient confidentiality. Must have good English grammar spelling and basic math skills computer literate and word processing skills. Must be flexible work both independently and as a team and sit for long periods. Ability to work quickly and efficiently with minimal supervision.
Physical Requirements:
Frequent: sitting standing walking working on computer 8-10 hours daily lift/carry objects up to 24lbs repetitive motion of hands & wrists close eye work color differentiation exposure to infectious disease exposure to emotional crisis of others independent problem solving.
Constant: listening speaking in person or on the phone reading writing and working with public and staff.
HIPAA Exposure to PHI statement
Employee provides services associated to the Northeastern Rural Health Clinics its participating physicians and clinicians which is a covered entity under the HIPAA rule. In the scope of performing functions including but not limited to management administrative financial legal and operational support services I may have access to Protected Health Information (PHI) which is information whether oral written electronic visual pictorial physical or any other form that relates to an individuals past present or future physical or mental health status condition treatment service products purchased or provision of health care and which reveals the identity of the individual whose health care is the subject of the information or where there is reasonable basis to believe such information could be utilized to reveal the identity of that individual.
Required Experience:
IC
Employment Type
Unclear
