Referral Coordinator

YSLETA DEL SUR PUEBLO•El Paso, TX

8d•$16 - $26

About The Position

Assists patients referred through the Purchased and Referred Care (PRC) process to external providers to ensure medical services are received in accordance with PRC Guidelines.

Requirements

Associate degree or equivalent college credits or certificate from technical school related to health delivery or health education
one year experience working in a healthcare setting
must possess valid Texas Driver License and be insurable
must be able to successfully pass a post-offer drug screen and criminal history background check
Ability to communicate with others, including demonstrating active listening skills
Must possess excellent communication and time management skills
Must be able to read and write proficiently and interpret medical forms
knowledge of medical terminology
ability to occasionally travel
ability to maintain confidentiality at all times
ability to attain HIPPA training and certification
basic knowledge of EHR and RPMS
Must have knowledge of administrative and clerical procedures
Must have a working knowledge of Microsoft Office applications such as Word, Excel, PowerPoint, Access, and Outlook
Knowledge of principles and processes for providing excellent customer service
Problem-solving skills
Ability to use technology including the use of laptops, smartphones and, internet/online application systems
Ability to work independently and as part of a team
Displays empathy, respect, and understanding of community values and members
Ability to organize information, events, and program activities

Responsibilities

Coordinates PRC referrals between patients, medical staff, and administrative staff
Obtains medical records or progress notes that support the internal/external PRC referral
Enters referral data into the electronic health records system to generate new PRC referrals
Assists patients with scheduling appointments to outside healthcare providers
Responsible for coordinating all internal/external PRC referrals to ensure continuity of care
Works closely with Benefits Care Coordinator and Patient Care Coordinator to assist and advocate on behalf of the patient
Compiles statistical data for reporting purposes
Verifies PRC eligibility utilizing the RPMS and provides authorization to medical providers
Prepares and occasionally presents referred specialty cases for the PRC Committee
Notifies patient and provider if specialty care services are approved or denied by the PRC committee
Participates in Emergency Preparedness
Other Position related duties as assigned