REFERRAL COORDINATOR

Summary

This position is responsible for managing and coordinating outside specialty appointments requested to ensure continued continuity of patient care timely and professionally; as well as working closely with area hospitals, ancillary departments, and specialty physicians, nursing facilities, patient families, and the general public. 

Essential Duties

1. Manage and coordinate all medical referrals thru the Electronic Health Record system.
2. Communicate directly with patients by giving and receiving information, as well as building rapport with them.
3. Process insurance referrals and maintain quality documentation on each insurance authorization.
4. Maintain close communication with key insurance companies to ensure that referrals are completed and followed up per requirements.
5. Solve problems independently and within a team environment. 

Summary

This position is responsible for managing and coordinating outside specialty appointments requested to ensure continued continuity of patient care timely and professionally; as well as working closely with area hospitals, ancillary departments, and specialty physicians, nursing facilities, patient families, and the general public. 

Essential Duties

1. Manage and coordinate all medical referrals thru the Electronic Health Record system.
2. Communicate directly with participants by giving and receiving information, as well as building rapport with them.
3. Process internal referrals and maintain quality documentation on each authorization.
4. Maintain good communication with the Interdisciplinary team to ensure referrals are completed and followed up per regulations. 
5. Solve problems independently and within a team environment. 

Job Duties

On Call Responsibilities 

This position does not have any on call responsibilities.

Supervisory Responsibilities

This position does not have any supervisory responsibilities.

Qualifications

Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

All health care providers who are HIPAA covered entities, whether individuals or organizations, must get an NPI. Under HIPAA, you’re a covered health care provider if you electronically transmit health information in connection with a HIPAA standard transaction, even if you use a business associate to do so. AllCare Health employs staff that are defined under OHA or CMS as health care providers. Positions that are defined as providers include, but are not limited to, Doctors, Nurse Practitioners, Physical Therapists, Traditional Health Workers, and Certified or Qualified Healthcare Interpreters. 

Education & Experience

Certificates, Licenses and/or Registrations

This position does not have any certificates, licenses or registrations required.

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Computer Skills

Has advanced basic computer job skills including logging on to systems, ability to communicate by email, ability to compose documents, enter database information, create presentations, download forms, and preserve/backup important data.

Reasoning Ability 

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to work with problems involving a few concrete variables in standardized situations.

Interpersonal Skills

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and depth perception. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear. The employee is frequently required to sit. The employee is occasionally required to stand and walk. The noise level in the work environment is usually moderate.