PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Coordinate and schedule all diagnostic testing and specialty consultations, both internal and external.
- Daily reports of referrals and diagnostic procedures are generated from the previous day to ensure prompt follow-up and resolution of pending items
- Ensure appropriate pre-authorization and referral procedures are followed according to payer guidelines.
- Serve as a liaison between patients, providers, and external specialists to ensure clear communication and timely appointments.
- Obtain medical records and consultation reports from external facilities where Betances has system access; attach and assign reports in the EHR as appropriate.
- Accurately document and maintain all referral information within the Electronic Health Record (EHR) and Practice Management system.
- Monitor and track the status of all referrals to ensure follow-through, receipt of consultation reports, and closure in the EHR.
- Communicate referral and appointment details to patients, providing instructions and answering questions regarding next steps.
- Follow up with providers or departments to obtain necessary documentation for pre-authorizations and referrals.
- Support internal departments with referral-related questions and ensure coordination of care between service lines.
- Generate and maintain referral tracking reports to support quality assurance and compliance initiatives.
- Participate in special projects, process improvement activities, and staff training as assigned.
- Perform other duties as directed by the supervisor or Executive Management Team.
KNOWLEDGE, EDUCATION, SKILLS AND ABILITIES REQUIRED:
- High School Diploma or GED equivalent required;
- One (1) year + experience in a clinical or healthcare setting;
- Excellent customer service and telephone skills;
- Bilingual English/Spanish preferred;
- Excellent verbal and written communication skills, well developed organizational skills; reliable, and with great attention to detail.
- Knowledge of medical terminology required;
- Familiarity with components of medical records;
- Basic knowledge of health insurance procedures and regulations especially Medicaid, Medicare and managed care contracts required;
- Computer skills: Microsoft word, Office and Excel, Computerized Scheduling, mail merge;
- Able to handle multiple tasks and deadlines simultaneously;
- Knowledge of medical terminology, ICD-9 and CPT coding required;
- Ability to partner and work collaboratively with internal departments to meet organizational goals;
- Demonstrated proficiency in Microsoft Office programs; Electronic Health Record (ECW) preferred.
