Outpatient Referral Coordinator

SUMMARY

The Referral Coordinator’s primary function is coordination, processing, registering and scheduling of medical referrals and securing prior authorization for a variety of medical services. As an integral member of the health care team, the Referral Coordinator will collaborate with other medical providers and medical assistants.

Provides support with the daily activities of a medical office including filing, telephone coverage, greeting patients and their families by performing the following duties.

DUTIES AND RESPONSIBILITIES

The following are essential job accountabilities:

1. Works with the referring physician to secure necessary documents.
2. In a timely manner complies necessary documents to present to the clinical team for review.
3. Reviews in detail the referral process with the parent/guardian
4. Answers telephone and either responds to inquiry
5. Schedules appointments and enters appointment date and time into computerized scheduler with a high rate of accuracy.
6. Provides exemplary customer service; treats patients and coworkers with courtesy and discretion. Greets and directs patients, salespeople, and visitors.
7. Registers patients by verifying that patient's record is up to date and accurate.
8. Makes appropriate changes in computer system
9. Enters confidential personal health information and financial information into computerized system with a high rate of accuracy.
10. Complies with federal and local laws in ensuring patient privacy.
11. Maintains log of authorizations received and communicates with the PCP regarding necessary documents.
12. Maintains a log of referrals received and detailed status of referral
13. Enters treatment authorizations into the computer system.
14. Verifies eligibility of insurance coverage.
15. Other duties as assigned.

PERFORMANCE STANDARDS AND SUCCESS INDICATORS

To perform the job successfully, an individual should demonstrate the following competencies:

Problem Solving- Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Knows when to escalate issue to management

Positive physician, patient, and clinic staff as evidenced in work performed

Demonstrates the ability to plan, and prioritize workload and job assignments as demonstrated by work performance

Responds to changes in work load prioritization and department needs as demonstrated by work performance.

QUALIFICATIONS

High School Graduate

Complexity:

Ability to perform highly detailed work with sustained attention and aware while providing/obtaining information on numerous inquiries is paramount to success in this position.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is regularly required to stand; sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear. The employee is frequently required to walk. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception and ability to adjust focus. This job description in no way states or implies that these are the only duties to be performed by the

WORK ENVIRONMENT:

Room temperature varies, well light work area, and work closely with co-workers.

The work environment characteristics described here are representative of those employee encounters while performing essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sometimes busy, hectic, noisy or filled with interruptions.

MENTAL DEMANDS:

While performing the duties of this job, employees are regularly required to use written and oral communication skills.

Read and interpret data, information and documents;

Perform highly detailed work on multiple, concurrent tasks; work under intensive deadlines with frequent interruptions; and interact with providers, staff, customers, the public and others encountered in the course of work, some of whom may be dissatisfied.