Referral Care Coordinator

ONEWORLD COMMUNITY HEALTH CENTERS INC•Omaha, NE

3d•Onsite

About The Position

Referral Care Coordinators assist patients by scheduling specialty medical appointments and services within and outside the clinic as referred by providers. Works collaboratively with the clinical team to serve as a liaison between the patient and specialty service providers to ensure the patient receives quality and timely care. Ensures proper documentation in relation to outreach efforts within the database while maintaining confidential electronic health records. Maintains professional oral and written communication skills to accurately complete the referral process. Reviews medical records and executes medical directives: pre-ops, referrals, and scheduling appointments. Uses databases and spreadsheets to expedite the referral process. Schedules and coordinates appointments for OneWorld clinics as well as off-site specialty clinics. Partners with other internal departments in the process, as needed. When coordinating appointments with off-site clinics, serves as an advocate for the patient, representing OneWorld in a positive and professional way. Collaborates with the medical team to ensure the patient understands the treatment plan and financial resources. Maintains confidential electronic health record: documents treatment plan and ensures records are received from referring facilities. As needed, faxes pertaining to notes to referring facilities. Weekly, follow up and document in the database the results of the patient referrals and the outcomes. Reports on the progress of referrals on a weekly basis. Completes additional requirements such as, but not limited to, prior authorizations, facility forms, and insurance denials as needed by facilities to ensure prompt scheduling. Stays abreast of available social services within the organization and community. Refers and/or prescreens patients to appropriate services based on guidelines. The tasks outlined above are intended to provide a general overview of the role and are not an exhaustive list of all duties, responsibilities, or job functions. Additional tasks may be assigned as needed to support the business, and responsibilities may evolve to meet the changing needs of the organization.

Requirements

High school diploma and/or equivalent and basic computer skills required.
The ability to communicate effectively with internal and external customers.
Demonstrated ability to: analyze and solve problems; prioritize and organize; exhibit a high level of integrity and sense of urgency to service the customer.
Displays initiative as a team player and as a leader.
Proficiency in English and Spanish required.

Nice To Haves

Associate’s Degree in Health Administration and/or a related field preferred.
Medical office and/or customer service experience preferred; 1-2 years of experience preferred.

Responsibilities

Assist patients by scheduling specialty medical appointments and services within and outside the clinic as referred by providers.
Work collaboratively with the clinical team to serve as a liaison between the patient and specialty service providers to ensure the patient receives quality and timely care.
Ensure proper documentation in relation to outreach efforts within the database while maintaining confidential electronic health records.
Maintain professional oral and written communication skills to accurately complete the referral process.
Review medical records and executes medical directives: pre-ops, referrals, and scheduling appointments.
Use databases and spreadsheets to expedite the referral process.
Schedule and coordinate appointments for OneWorld clinics as well as off-site specialty clinics.
Partner with other internal departments in the process, as needed.
Serve as an advocate for the patient, representing OneWorld in a positive and professional way when coordinating appointments with off-site clinics.
Collaborate with the medical team to ensure the patient understands the treatment plan and financial resources.
Maintain confidential electronic health record: documents treatment plan and ensures records are received from referring facilities.
Fax pertaining to notes to referring facilities as needed.
Follow up and document in the database the results of the patient referrals and the outcomes weekly.
Report on the progress of referrals on a weekly basis.
Complete additional requirements such as, but not limited to, prior authorizations, facility forms, and insurance denials as needed by facilities to ensure prompt scheduling.
Stay abreast of available social services within the organization and community.
Refer and/or prescreen patients to appropriate services based on guidelines.