Patient Access Referral Coordinator (Full-Time, Days)

Enloe Health•Chico, CA
•$22 - $29

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 matters related to Enloe Health patients. The coordinator verifies and updates patient demographic information and verifies insurance eligibility. The role collects and processes departmental referrals and external reports, and enters data into the Electronic Medical Record (EMR) daily. The coordinator ensures that orders include demographics, insurance information, and documentation—including chart notes needed to obtain authorization. The coordinator communicates with the Clinical team for Imaging to ensure orders meet required criteria, including any needed lab work, prior examinations, or chart notes for the Radiologist. The role 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 coordinator triages incoming external orders to ensure the appropriate protocol is used for the diagnosis and contacts external providers to obtain corrected orders when necessary. 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.
  • Technical competence and computer data-entry skills.
  • Communication, organization, planning, and creative problem-solving skills, with 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 hospital personnel.
  • Ability to interact 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 expedient patient care.
  • Ability to adapt priorities to changing patient status and workloads.
  • Must be able to fulfill the essential functions of the position.

Nice To Haves

  • Knowledge of medical terminology.
  • Referral experience with diagnostic procedures.

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 demographic and insurance information and required documentation, including chart notes needed for authorization.
  • Coordinate with the Clinical team for Imaging to ensure orders meet criteria, including required lab work, prior exams, and chart notes for the Radiologist.
  • Work with the Patient Access Referral Authorization Specialist to address authorization issues or concerns.
  • Coordinate with Patient Access Scheduling Coordinators to expedite orders as deemed necessary by the physician or Clinical Imaging team.
  • Triage incoming external orders to ensure the appropriate protocol is used based on the diagnosis and requested image.
  • Communicate with external providers to obtain corrected orders when needed.
  • Maintain patient confidentiality and an orderly work environment supporting the Referring Provider.
  • Create a friendly, cooperative impression with internal and external customers and independently prioritize multiple functions in a fast-paced environment.

Benefits

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