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Referral Coordinator Jobs

Company

CommUnityCare Health Centers
Address , Austin, 78759, Tx
Employment type FULL_TIME
Salary
Expires 2023-07-14
Posted at 1 year ago
Job Description
Overview:
In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments is responsible for coordinating all aspects of the patient referral process in a community healthcare center setting and for adhering to established timelines and departmental procedures.
Responsibilities:
DUTIES AND RESPONSIBILITIES:
  • Attends seminars and maintain all licensure and/or certification requirements for continuing education and best practices
  • Obtains referral authorization from insurance carriers for specialty services and relay such authorizations (or denials) to the patient and provider
  • Ensures referral Standard Operating Procedures are followed for all referrals
  • Ensures referral requests received from the PCP are addressed in a timely fashion
  • Conducts auditing of records for the referral team as needed
  • Attends team huddles and scheduled meetings
  • Contacts patients verbally or in writing per current protocol
  • Completes all direct and indirect care documentation in timely manner and ensure patient records are current and complete
  • Resolves pre-authorization, registration, or other referral related issues prior to a patient’s appointment
  • Ensures that all documentation is completed in EPIC
  • Collaborates with all members of the care team in providing patient-centered care
  • Participates in quality strategies to evaluate compliance with evidence-based guidelines/standards and to identify opportunities to improve patient outcomes
  • Interacts respectfully and collaboratively with patients and their families, striving to develop favorable relationships with families
  • Maintains updated referral resources
  • Gathers pertinent information from insurance carriers, financial counselors, or other staff regarding appointments to determine financial responsibility
  • Ensures all tasks provided and associated with patient care, patient administrative processes, and related duties comply with all regulatory and accreditation standards including The Joint Commission and CommUnityCare Standard Operating Procedures and CommUnityCare Policies and Procedures
  • Performs other duties as assigned
  • Schedules appointments per clinic guidelines as appropriate
  • Upholds and completes referrals ensuring that the entire referral process is complete
  • Develops and maintain favorable internal relationships, partnerships with co-workers, including clinical managers, clinical support staff, providers, and business office staff
  • Monitors templates for appointment availability
  • Ensures referrals are completed in an appropriate timeframe to meet patient needs for access to services
  • Meet defined productivity standards
  • Assists in the expansion of the referral department through the orientation and training of new team members under the direction of the Triage and Referral Nurse Manager

KNOWLEDGE/SKILS/ABILITIES:
  • Demonstrates familiarity and proper care of electronic devices common GUIs found within most health care environments (for example, personal computer skills, spreadsheets, word processing, patient record systems, EHR systems, etc…)
  • Shows excellent verbal and written communication skills
  • Has the ability to utilize computers for data entry and information retrieval
  • Demonstrates knowledge of the referral process for a variety of insurance plans
  • Demonstrates success in researching and resolving complex issues
  • Demonstrates a high level of skill at building relationships and providing excellent customer service
  • Demonstrates knowledge of federal, state, and local insurance regulations
  • Inhibits a strong attention to detail and accuracy
Qualifications:
MINIMUM EDUCATION: High School Diploma or equivalent

MINIMUM EXPERIENCE:
  • Three years’ experience in the healthcare field including one year experience as a Medical Assistant, Medical Administrative Clerk, Patient Services Representative, or Dental Assistant