Referral Coordinator

Central City Concern • Portland, OR

5d • Onsite

About The Position

The Referral Coordinator is responsible for coordinating specialty care for patients in need of external consultation and/or medical equipment devices as requested by the primary care provider. They are responsible for scheduling, tracking, and reporting on referrals. The Referral Coordinator will provide referral case management while exercising utmost discretion, diplomacy, and tact in patient interactions. They will act as liaison between Old Town Clinic and specialty clinics.

Requirements

• High School diploma or GED required.
• One year of experience in referrals or outreach in a medical setting.
• Has the competencies necessary to: Communicate effectively orally and in writing
• Understand medical related terminology
• Perform confidently with computer software
• Spanish language fluency preferred.
• Must have a high tolerance for ambiguity and change.
• Must have current CPR certification prior to start date.
• Must generally have the ability to walk, bend, stoop, kneel, squat, twist, reach, pull and lift heavy objects, and climb stairs with reasonable or no accommodation.
• Ability to adhere to Central City Concern’s drug-free workplace which encourages a safe, healthy and productive work environment and strictly complies with the Drug-Free Work Place Ace of 1988.
• Must pass a pre-employment drug screen, TB test, and background check.
• This includes clearance by the DHS Background Check Unit.
• Must adhere to agency’s non-discrimination policies.
• Must be able to effectively interact with co-workers and clients with diverse ethnic backgrounds, religious views, political affiliation, cultural backgrounds, life-styles and sexual orientations and treat individuals with respect and dignity.
• Ability to effectively interact with populations of patients with an understanding of their needs for self-respect and dignity.
• Ability to effectively calm patients and deal with distressed and/or agitated patients.
• Ability to be highly motivated, work independently as well as a member of the team, make decisions, and work in a fast-paced, stressful environment.
• Excellent organization skills with strong attention to details.
• Knowledge of medical terminology and medical insurances
• Strong computer skills and ability to quickly learn new software/programs
• Ability to multi-task and prioritize work while meeting deadlines.
• Ability to communicate clearly and concisely with patients, providers, co-workers and outside specialty services
• Demonstrate a high tolerance for ambiguity and change.

Nice To Haves

• Prefer Bachelor’s Degree or higher in health or social service related field of study.

Responsibilities

• Process patient referrals to specialty services and for durable medical devices.
• Obtain authorizations for patient referrals to specialist, diagnostic testing, procedures, and DME (durable medical equipment).
• Advise primary care provider if request is denied.
• Coordinate specialty referrals and financial assistance for uninsured clients.
• Assemble information concerning patient’s clinical background and referral needs, providing appropriate clinical documentation and authorizations to specialist prior to patient’s appointment.
• Ensure that referrals are addressed in a timely manner, prioritizing urgent items immediately.
• Process insurance authorizations for Acupuncture and Occupational Therapy services offered internally in collaboration with the billing department.
• Coordinate the usage of community-sponsored grants for exceptional patient services as they are offered.
• Assist patients in scheduling appointments with specialty providers or services.
• Review details and expectations about the referral with patients.
• Act as point of contact and provide direct access to patients and providers with questions or concerns around specialty referrals or durable medical equipment.
• Assist patients in problem solving potential issues related specialty appointments such as transportation or rescheduling appointments.
• Establish and maintain relationships with identified specialty providers and services.
• Input and track all referrals in EMR system.
• Review and maintain monthly referral tracking report to ensure referrals have been completed and consult reports have been received, reviewed by primary care provider and entered into patient’s EMR.
• Outreach and follow up on any incomplete referrals
• Utilize EMR/EHR online portals to local hospital systems in order to track referral progress and retrieve consult reports.
• Communicate with clinical care teams to keep them abreast of specific patients and changes in processes to referrals.
• Educate clients, support staff and providers about referral processes and updates.
• Participate in compliance, quality assurance and quality improvement activities.
• Adhere to all state and federal privacy regulations, including HIPAA and 42 CFR Part 2, and to CCC policies and agreements regarding confidentiality, privacy, and security.
• Support compliance with all privacy and security requirements pursuant to community partners’ and outside providers’ patient confidentiality agreements, including privacy and security requirements for EMR access.
• Attend all mandatory CCC trainings in a timely manner.
• Perform other duties as assigned.

Benefits

• Comprehensive Medical, Vision, and Dental insurance coverage.
• Employer Paid Life, Short-Term Disability, AND Long-Term Disability Insurance!
• Generous paid time off plan beginning at 4 weeks of PTO accrual per year!
• Amazing 403(b) Retirement Savings plan with an employer match of 4.25% in your 1st year, 6% in the 2nd year, and 8% in your 3rd year!
• Up to 11 recognized Holidays and 2 personal holidays (dependent on work shift schedule).
• Sabbatical Program offering extended time off at years 7, 14, and 21.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED