Referral Coordinator

Pasco Southwest Home HealthGrand Junction, CO
26d$24 - $30

About The Position

Responsible for assisting clinical team in all aspects of the patient intake process including reviewing referrals, establishing and maintaining positive relationships with customers and referral sources and responding to customer requests and concerns. The above statements are only meant to be a representative summary of the major duties and responsibilities performed by the employee of this job. The employee may be requested to perform job-related tasks other than those stated in this description.

Requirements

  • Medical Assistant Certification or equivalent; relevant associate degree
  • At least three to five years of experience in health care operations.
  • Knowledge of medical terminology, EHR systems, and insurance protocols.
  • Knowledge of corporate business management, governmental regulations, and private payer practices.
  • Demonstrates good communication, organizational and problem-solving skills
  • Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities.

Responsibilities

  • Assists and participates in all daily patient referral and intake operations including clinical assessment.
  • Ensures compliance with all state and federal referral/intake regulatory requirements.
  • Directs the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
  • Establishes and maintains positive working relationships with current and potential referral sources.
  • Ensures seamless transition of patients to home or hospice care by providing direct oversight of patient education and preparation for home care, plan of care initiation, and coordination of care with multiple service providers.
  • Builds and monitors community and customer perceptions of Pasco/SW as a high-quality provider of services.
  • Gathers, collates, and reports referral statistics including key customer referral trends.
  • Participates in strategic planning including identifying opportunities for additional or improved services to meet unmet customer needs.
  • Maintains comprehensive working knowledge of Pasco/SW contractual relationships and ensures that patients are admitted according to contract provisions.
  • Participates in quality assessment, performance improvement teams, and activities.
  • Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by Pasco/SW Home Health and Hospice.
  • Participates in case conference meetings and clinical trainings
  • Collaborate directly with clinical supervisors and Director of clinical services
  • Monitor Care Types
  • HH Intake workflow
  • Hospice Intake workflow
  • Check Fax and process in coming referrals, orders
  • Maintain SOC pending list daily
  • Monitor delayed SOC orders and unsigned orders
  • Support to HH clinical team (and Hospice)
  • Clinical and Financial approval for HH referrals
  • Organize and Maintain supply closet to ensure supplies are not expired
  • Track supplies and send supply orders to HH DCS as needed.
  • Triple Check- Clinical
  • Financial and Clinical referral review
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