Referral Coordinator

Central Jersey Medical Center • Perth Amboy, NJ

2d

About The Position

The fundamental reason this classification exists is to ensure that CJMC patients with referrals have access to other specialists or institutions for additional health care services. The position requires CJMC staff to have a working knowledge of processing patient data and managed care referral programs. Additionally, the CJMC staff is required to maintain patient confidentiality in regard to HIPAA and other federal, state, and local regulations as stated in the CJMC policies and procedures manual.

Requirements

• Demonstrated ability to adapt to changes readily.
• Knowledge of administrative and clerical procedures.
• Ability to follow instructions, given either orally or in writing.
• Able to convey information effectively.
• Ability to work with little or no supervision.
• Demonstrate effective follow-through with all tasks.
• Able to manage one’s own time under tight time constraints.
• Maintain high level of confidentiality.
• Ability to complete assignments in a timely manner.
• Working knowledge of CJMC policies and procedures.
• Able to work as a team player.
• The ability to speak Spanish.

Responsibilities

• Coordinates all patient referrals for Internal Medicine.
• Research patients' managed care organization for proper providers.
• Educate patients about referral guidelines or policies.
• Obtain current identification for managed care, preparing certification as required.
• Preparing authorization with patient diagnosis and request from primary care physician.
• Schedule appointment for specialty services and request follow-up information.
• Maintains current knowledge of all managed care referral policies and implements procedural changes as required.
• Obtains and documents authorizations/pre-authorizations for patients’ clinical treatment.
• Other duties as assigned.

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed