Referral Coordinator

JOB SUMMARY:

Schedules appointments for patients to other physicians/specialists. Calls for authorizations from insurance companies if necessary fills out appropriate referral forms copies records to fax/mail to referring physician. Coordinate referral tracking and manage reporting for all referring providers monthly.

JOB RELATIONSHIPS:

Responsible to: Practice Support Managers Director of Practice Operations Chief Practice Officer

Positions Directly Supervised: None

AGE OF POPULATION SERVED:

Pediatric age to geriatrics (non-specific)

ESSENTIAL JOB FUNCTIONS:

The following is a summary of the major essential functions of this job. The incumbent may perform other duties both major and minor that are not mentioned below; and specific functions may change from time to time.

People

• Builds a strong positive relationship with every customer served.
• Works effectively with others to deliver the highest quality care and service on a continuous basis.
• Follows HCMH standards of performance at all times.
• Assists patients and other callers in a prompt courteous and helpful manner.

Quality

• Demonstrates skills and knowledge to effectively complete assigned tasks and completes all required education programs.
• Delivers safe accurate and timely patient communication that conforms to HCMH standards and departmental goals and main job functions as outlined below.
• Maintains strictest patient confidentiality.

Service

• Works diligently to meet the needs of patients.
• Fully engaged fully aware and available to help others while on duty.
• Answers telephone screens calls routes calls takes messages and provides information as appropriate.
• If needed sets up medical record chart for new patients and enters patient demographic and insurance data into computer system.
• Schedules referral appointments for patients to other physicians/specialists fills out proper authorization forms sends request to medical records to fax/mail to physician office.
• Updates referral authorizations as necessary.
• Reviews pending referrals and retrieves records once appointment completed and ensures records are on the patient chart for provider review
• Performs referral tracking reports on each provider referring and create monthly cumulative report

Finance

• Accomplishes tasks with the minimum expenditure of time materials and money with service as the guiding principle.
• Works productively while on the clock and offers to help others when work is completed.

Growth

• Demonstrates the ability to positively and productively respond to change.
• Participates in continuous improvement offering and or implementing methods to improve care and service.
• Performs related work as required.

QUALIFICATIONS:

The following qualifications or equivalents are the minimum requirements of this job:

Education and Formal Training:

• High school diploma or equivalent and preferably one of the following:
• Graduation from an Associate Degree program for Medical Assistants. Certificates accepted: CMA CCMA or RMA
• Graduation/satisfactory completion from a state approved nursing assistant I or II program and current CNA certification in NC with at least 1 year medical office experience

Work Experience:

• One (1) year work experience preferably in a medical office setting.
• Knowledge of medical terminology desirable.
• Experience with multi-line telephone system and computers.

Knowledge Skills and Abilities Required:

Demonstrates a high level of mental and emotional tolerance and even temperament when dealing with ill people; uses tact sensitivity sound judgment and a professional attitude when communicating with patients families and co-workers at all times. Actively functions as a patient advocate. Knowledge of grammar spelling and punctuation to type patient information. Skill in greeting patients and answering the telephone in a pleasant and helpful manner. Ability to speak clearly and concisely. Ability to read understand and follow oral and written instruction. Ability to establish and maintain effective working relationships with patients employees and the public. Must develop knowledge of current hospital emergency policies and procedures fire safety disaster and infection control policies

Required Experience:

IC