Referral Coordinator Surgery Clinic

The University of Kansas Hospital • Kansas City, KS

91d

About The Position

The referral coordinator is responsible for ensuring that referrals and the work queue are worked and addressed in accordance with Health System standards, including reporting any issues with incoming referrals to the appropriate person, gathering outside records, and coordinating required testing. Works with insurance companies to obtain prior authorization for referrals and various procedures. Coordination with referring physician's office, patient, and other departments as needed to get appointment scheduled appropriately.

Requirements

• High School Graduate or GED.
• Minimum of two years of medical office experience in a managed care environment, with at least one year actively involved in referrals.

Nice To Haves

• Certified Nurse Aide / Assistant (CNA) - State Department for Aging and Disability Services (Health Occupations Credentialing)
• Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA)

Responsibilities

• Responsible for working the referral/order work queues.
• Work cooperatively with providers and clinical team to obtain, assess, and respond to external/internal referrals.
• Schedules appointments for various patient procedures, including precertification for appointments/procedures.
• Maintain patient confidentiality.
• Provide education to patients about the importance of the referral process and service provided by the physician's office.
• Supports Division Coordinator by providing recommendations appropriate for improvement strategies key to department scheduling success.
• Work with Division Coordinator to make recommendations regarding department referral documentation, organizational improvement, information, and staffing retention.
• Communicates to physicians and other health care providers the various requirements and processes involved with medical referral authorizations.
• Utilize the EMR system to its full potential in capturing the necessary information needed for making an appointment.
• Work with Workman's Compensation team to appropriately route patients to providers for prompt scheduling.
• Answer incoming calls to the administrative office.
• Complete referrals with proper documentation and communicate to patients informing of referral status.
• Thorough understanding of the scheduling/referral process and ability to train new members of the scheduling team.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: High school or GED