REFERRAL COORDINATOR

Shift: Day
Schedule: Full - Time Regular

Refers/schedules patients to specialists and for various testing procedures.  Verifies insurance coverage and pre-certifications needed prior to scheduling. Occasionally assists with daily operations of clinic, including greeting and assisting customers, answering business telephone calls, patient data entry, maintaining the filing system and handling a wide variety of duties, as needed.   Maintains a knowledge base of insurance companies and their requirements.   Responsible for coding knowledge.  

 

JOB COMPENTENCIES

 

•             Personal Effectiveness - Meets established timelines; follows through to ensure completion of assigned objectives, seeks feedback to improve performance, and demonstrates a positive, “can do” attitude

•             Innovation and change - Looks for opportunities to improve processes and services, makes an effort to learn and develop new skills, and is resourceful and enthusiastic in responding to new challenges

•             Fostering Teamwork - Is open and honest in dealing with others, demonstrates commitment to team objectives, and sees challenges facing department and helps the team to address them

•             Quality Services - Delivers high quality services to internal and external customers, accepts responsibility and takes action to address quality issues, and helps operations & services respond to the needs of caregivers

•             Integrity - Adheres to a standard of ethical conduct that promotes trust and open communication, earns trust by living up to commitments, and can be counted on to keep confidences

 

MAJOR RESPONSIBILITIES:

•             Sorts, alphabetizes and files all   paperwork relating to patient’s charts

•             Demonstrates effective communication skills appropriate to a professional atmosphere

•             Assists the team by greeting customers in a friendly and expedient manner and providing the information or service requested.

•             Provides back-up to team by answering high volume phone calls.  

•             Answers telephone professionally with cheerful enthusiasm and identifies self.   Ensures caller receives resolution to inquiry.

•             Refers/schedules patients needing appointments with specialist or for various testing.

•             Obtains pre-certifications or authorizations as needed.

•             Prioritizes patient charts needing referrals via triage method.

•              Ensures patient’s insurance requirements are met before scheduling

•             Maintains sensitive and confidential information appropriately

•             Faxes records as needed to specialists.

•             Assists nursing staff with level of priority/urgency in patient care.

•             Continually seeks ways to improve processes and add value to department

•             Performs related assignments as required and assigned

•             Assist with any special projects, as needed

•             Maintains and increases a personal working knowledge of Clinic policies

 

SKILLS & ATTRIBUTES

•             Previous job experience in delivering exceptional customer service

•             Alphabetical filing skills

•             Good positive, customer focused interpersonal and business telephone skills

•             Position requires fluency in English language to function in job environment appropriately

•             Good organizational and follow-through skills

•             Keyboard data entry skills and working knowledge of computers and basic office equipment

•             Intermediate level of experience with computers in Windows and Microsoft Office applications

•             Strong grasp of medical terminology

•             Must be able to work in a fast paced environment and adapt to rapidly changing situations

•             Must be able to quickly evaluate and prioritize requests of staff and physicians

•             Ability to deal with employees, patients, physicians and visitors in stressful situations

•             Must be well versed in HIPAA laws and keep patient documentation and information confidential

•             Ability to multi-task constantly and tolerate interruptions

•             Ability to function in an occasionally hostile environment with patients/customers who are ill or hurt

•             Must be willing to work as part of a cohesive medical team to care for patients and deliver exceptional customer service

A.            Education/Skills/Experience:

•             High School Diploma or equivalent

•             Preference will be given to individuals with previous similar office experience

 

B.            Licenses, Registrations, or Certifications:

•             None

 

 

 

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.