Coordinator, Appointments & Referrals

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Time Type:

Department:

All Locations:

Position Summary:

DUTIES AND RESPONSIBILITIES:

• Maximize reimbursement to the health center from various managed care payors by scheduling specialty appointments appropriately and communicating the outcome to the patients and/or the specialists office;

• Establish and maintain professional collaborative relationships with internal and external customers

• Educate/communicate with patients about their insurance so that they schedule specialty appointments within their insurance network and/or understand the financial consequences of seeing providers out of network;

• Provide patients with the highest quality of customer service in accordance with NeighborHealths mission and vision;

• Review and address Epic in-basket messages in a timely manner taking action within 24-48 hours of receipt.

• With great attention to detail schedule all external specialty visits for your assigned Referral workqueue per department guidelines; cover other workqueues as needed. Exhaust all avenues to achieve the goal on securing the appointment within the requested timeframe. Follow up with primary care provider if unable to schedule as order specifies to explore alternatives.

• Ability to understand and interpret medical terminology in the orders for the purpose of making a relationship between the diagnosis and what accompanying documentation is required such as recent lab results or other diagnostic test results.

• Process 65 referrals or more a day for BMC work queues

• Process 40 or more referrals a day for non BMC referrals

EDUCATION:

• High School diploma and related college degree and/orequivalent work experience.

EXPERIENCE:

• Experience in a health care setting at least one year

• Ability to understand and interpret various managed care insurance benefits and guidelines.

• Knowledge of and experience with medical terminology extremely helpful

• Working knowledge of the health centers computer systems for registration billing appointment scheduling and managed care options and the various managed care plan electronic/on-line authorization technology (NHP NET NEHENLite WebMD Tufts etc.)

SKILLS/ABILITIES:

• Excellent customer service and interpersonal skills.

• Fluency in English & Spanish preferred

• The ability to work independently in a fast paced environment.

• Ability to communicate with internal and external customers.

• Some medical terminology

• Exceptional organizational skills

BENEFITS

• Medical dental and vision coverage.

• Life and disability insurance.

• 401(k) retirement plan.

• Tuition reimbursement.

• Flexible spending and transportation accounts.

• Paid holidays vacations sick and personal time.

• Generous staff development benefit.

• Excellent malpractice coverage.

• Pet insurance.

• And much more.

NeighborHealth opens our doors to people from all demographics and cultures. Our workforce is as diverse as the city we call home - in gender race ethnicity sexual orientation disability religion and age as well as in cultural backgrounds life experiences thoughts and ideas.

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmativeaction employer. We ensure equal employment opportunities for all without regard to race color religion sex national origin age disability veteran status sexual orientation gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability please send an e-mail toor call to let us know the nature of your request

Federal Trade Commission Statement:
According to the FTC there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications or apps. Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement:

NeighborHealth participates in the Electronic Employment Verification Program E-Verify. As an E-Verify employer all prospective employees must complete a background check before beginning employment.