REFERRAL COORDINATOR

AllCare Management Services•Grants Pass, OR

36d•$20 - $22•Onsite

About The Position

This position is responsible for managing and coordinating outside specialty appointments requested to ensure continued continuity of patient care timely and professionally; as well as working closely with area hospitals, ancillary departments, and specialty physicians, nursing facilities, patient families, and the general public. The Referral Coordinator will manage and coordinate all medical referrals through the Electronic Health Record system, communicate directly with patients, process insurance referrals and maintain quality documentation, maintain close communication with key insurance companies, and solve problems independently and within a team environment. This role also involves greeting and assisting patients with front office concerns, providing exceptional customer service, receiving and responding to inquiries, performing data collection and entry, utilizing the computer system, triaging patients, handling phone triage, arranging referrals and prior authorizations, scheduling appointments, inputting/updating patient demographic information, arranging professional contacts, collecting co-pays, ensuring rooms and equipment are kept clean, covering for staff members as needed, accessing the medical record and insurance information, maintaining effective communication, and meeting all required training.

Requirements

High School diploma or GED equivalent with a minimum of 2 years of medical office experience, including prior referral experience, required.
Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others.
Ability to perform each essential duty satisfactorily.
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
Ability to write routine reports and correspondence.
Ability to speak effectively before groups of customers or employees of organization.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Has advanced basic computer job skills including logging on to systems, ability to communicate by email, ability to compose documents, enter database information, create presentations, download forms, and preserve/backup important data.
Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
Ability to work with problems involving a few concrete variables in standardized situations.
Attentive, empathetic, and wants to learn.
Collaborates and finds ways to work with our diverse culture.
Empathy for others.
Ability to work with people with mental illness and from diverse backgrounds and experiences.
Ability to work extended hours to see issues through to resolution.

Nice To Haves

Insurance medical billing and coding expertise, preferred.
Coursework in medical terminology, preferred.

Responsibilities

Manage and coordinate all medical referrals thru the Electronic Health Record system.
Communicate directly with patients by giving and receiving information, as well as building rapport with them.
Process insurance referrals and maintain quality documentation on each insurance authorization.
Maintain close communication with key insurance companies to ensure that referrals are completed and followed up per requirements.
Solve problems independently and within a team environment.
Greets/assists patients with front office concerns and provides exceptional customer service to patients, providers, office staff, and other representatives via inbound and outbound calls as well as in person.
Receives inquiries and requests, and performs research and responds accordingly.
Performs data collection and data entry, following through and documenting the interaction.
Utilizes the computer system according to departmental protocols to include accurate data entry and retrieval of information for reporting purposes.
Triages patients for same day appointments, recording vital signs, current medication list, and chief complaint.
Handles phone triage of patients calling with non-medical concerns
Arranges referrals, prior authorizations, orders labs and studies.
Schedules patients for appointments, and inputs/updates patient demographic information in the EHR system
Arranges professional contacts and calls in orders appropriately as directed by MD and NP staff.
Collects co-pays when necessary.
Ensures rooms and equipment are kept clean; maintains laboratory equipment when necessary.
Covers and fills in for staff members as needed for efficient functioning during regular office days
Information access: entire medical record and insurance information, limited billing and collection accounts to enable coverage for clinic supervisor when necessary.
Maintains effective communication with patients, co-workers, and supervisor.
Maintains punctual, regular and predictable attendance.
Works collaboratively in a team environment with a spirit of cooperation.
Respectfully takes direction from the Practice Manager.
Meets all required training including those listed in Relias Learning Module System (LMS).
Other duties as assigned.