AAC I - Referrals

South Shore Health • Norwell, MA

5d • $19 - $26

About The Position

As an Ambulatory Access Coordinator I – Referrals, you will be responsible for a wide variety of tasks associated with patient care referrals; ensure the timely processing of insurance authorizations; work in collaboration with clinical staff and other departments to maximize efficiency; assist patient with referral-related questions and issues. Compensation Pay Range: $19.09 - $25.69

Requirements

• High school diploma or equivalent
• One (1) year of experience in healthcare setting required
• Excellent customer service skills
• Excellent verbal and written communication skills
• Excellent computer skills with knowledge of various software applications including Microsoft office (Word, Excel, Outlook)
• Excellent interpersonal skills
• Ability to meet demanding deadlines and balance multiple tasks
• Ability to work both independently and as part of a team to complete daily assignments by the end of the shift and long term assignments by established deadline.
• Detail oriented with excellent organizational and prioritization skills

Nice To Haves

• Epic Experience preferred

Responsibilities

• Log onto phone system at scheduled time and answers all incoming calls in a prompt, courteous and helpful manner, routing them to the appropriate extension and responding to requests for information.
• Processes outgoing specialty referral requests for all patients: • Reviews each referral to determine special services/procedures being requested. • Informs the patient of providers/facilities used by SSMC and provides contact information so the patient may schedule the appointment. • Updates the patient’s referral within the EMR to reflect status changes and document additional information as needed. • Obtains insurance-specific authorization and communicates to patients and/or facilities with insurance issues. • Provides referring facility with clinical information needed to support medical necessity or continuation of care. • Communicates requests from patients who wish to seek care outside SSMCs preferred providers • Communicates issues to PCP/Triage via Telephone Encounters. • Transcribe and processes faxed referral requests. • Monitor EPIC messages including, but not limited to, MyChart messages for referral requests by transcribing referral order and securing referral authorizations.
• Processes internal specialty referral requests for all patients: • Reviews each referral to determine special services/procedures being requested. • Updates the patient’s referral within the EMR to reflect status changes and document additional information as needed. • Obtains insurance-specific authorization and communicates to patients and/or facilities with insurance issues. • Communicates requests from patients who wish to seek care outside SSMCs preferred providers. • Communicates issues to PCP / Triage via Telephone Encounters. • Transcribe faxed incoming referral requests. • Monitor EPIC messages including, but not limited to, MyChart messages for referral requests by transcribing referral order and securing referral authorizations.
• Works independently to complete daily assignments by the end of the shift and long term assignments by established deadline. • Efficiently manages work schedule to accomplish assignments and activities before deadline. • Works independently with infrequent need for supervision. • Informs supervisor when not able to meet deadline.
• Embraces technological solutions to work processes and practices. • Accepts changing environment as technology advances, willing to learn new techniques and equipment. • Receptive to changes in department work processes and practices. • Seeks appropriate guidance for new techniques. • Offers suggestions for change to improve department. • Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization. • Embraces technological advances that allow us to communicate information effectively and efficiently based on role.
• Staff will work to enhance the patient experience in every interaction. • Demonstrates professional courtesy in all interactions with patients and coworkers. • Answers all questions in a polite, professional manner or finds someone who can answer the question. • Able to handle difficult patients or situations in a calm, professional manner. • Able to report issues/concerns using the chain of command.
• Staff is able to independently manage daily office functions: • Able to perform multiple work tasks efficiently and effectively. • Able to maintain a high level of concentration at all times. • Able to work under pressure and to maintain composure during stressful situations. • Able to complete tasks according to assigned deadlines. • Utilizes critical thinking and problem solving in day to day operations as well as in emergent situations. • Communicates appropriately and effectively following chain of command. • Demonstrates dependability and flexibility in meeting scheduling needs of the department

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees