About The Position

Under the direction of the Patient Access Manager, the Patient Access Referral Coordinator performs duties professionally and in an organized manner, with minimal supervision, while maintaining strict confidentiality in all patient-related matters. The role verifies and updates patient demographic information and insurance eligibility, and collects and processes departmental referrals and external reports while entering data into the Electronic Medical Record (EMR) daily. The coordinator ensures orders include required demographic, insurance, and supporting documentation, including chart notes needed for authorization. They communicate with the Imaging Clinical team to confirm orders meet required criteria, such as required lab work, prior exams, and chart notes for the Radiologist. The coordinator also works with the Patient Access Referral Authorization Specialist on authorization issues and with Patient Access Scheduling Coordinators to expedite orders when requested by a physician or the Clinical Imaging team. The role triages incoming external orders to ensure the appropriate protocol is used for the diagnosis and requested image, and contacts external providers to obtain corrected orders when needed. The coordinator creates a friendly, cooperative impression in interactions with internal and external customers, independently prioritizes and manages multiple functions in a fast-paced environment, and maintains an orderly work environment that supports smooth operations for the Referring Provider.

Requirements

  • At least two years of experience in a medical front-office or back-office setting and two years of clerical and data-entry experience, or one year of experience as a Patient Access Representative at Enloe Health.
  • Demonstrated technical competence, communication skills, organization and planning skills, creative problem-solving, and sensitivity to patients and families in crisis.
  • Knowledge of specialty-specific diagnoses.
  • Ability to communicate knowledgeably and articulately with clinic staff.
  • Ability to work professionally, positively, efficiently, and tactfully with department staff and other hospital personnel.
  • Ability to deal professionally and tactfully with the public regarding questions or concerns about patients' conditions, status, and care.
  • Ability to interface with hospital departments to use resources to maximize patient care efficiently.
  • Ability to adapt priorities to changing patient status and workload.
  • Computer data-entry skills.
  • Ability to fulfill the essential functions of the position.

Nice To Haves

  • Knowledge of medical terminology.
  • Referral experience with diagnostic procedures.
  • Ability to deal professionally and tactfully with the public regarding questions or concerns about patients' conditions, status, and care is preferred.

Responsibilities

  • Verify and update patient demographic information and verify insurance eligibility.
  • Collect and process departmental referrals and external reports, and enter data into the Electronic Medical Record daily.
  • Ensure orders include required demographic and insurance information and documentation, including chart notes necessary to obtain authorization.
  • Communicate with the Imaging Clinical team to ensure orders meet required criteria, including lab work, prior exams, and chart notes needed for the Radiologist.
  • Work with the Patient Access Referral Authorization Specialist on authorization issues or concerns.
  • Work with Patient Access Scheduling Coordinators to expedite orders as requested by physicians or the Clinical Imaging team.
  • Triage incoming external orders to ensure the correct protocol is used for the diagnosis and requested image.
  • Communicate with external providers and obtain corrected orders when needed.
  • Maintain patient confidentiality and create a friendly, cooperative impression in interactions with internal and external customers.
  • Prioritize and manage multiple functions independently in a fast-paced environment.
  • Establish and maintain an orderly work environment that supports operations for the Referring Provider.

Benefits

  • $0 premium medical plan, including vision insurance.
  • Prescription and dental group insurance.
  • Retirement plan with employer match.
  • Paid time off (PTO) that starts accruing immediately and can be used as earned.
  • Extended Sick Leave.
  • Flexible Spending Accounts for unreimbursed medical expenses and dependent care.
  • Employee Assistance Program.
  • Educational Assistance.
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