Referral & Prior Auth Rep III

University of Rochester•City of Rochester, NY

5d•$20 - $27•Onsite

About The Position

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. With minimal direction and considerable latitude for independent judgement, the referral coordinator is responsible for all aspects of the referrals made to the Telepsychiatry Department from nursing homes across the state of New York. The referral coordinator adheres to approved protocols for working with referrals and makes decisions that are guided by protocols and practices. The referral coordinator maintains an expert level of understanding of the program and division within the department of Psychiatry. The referral coordinator will work closely with the staff in the Telepsychiatry Program, specifically the Health Project Coordinator and Senior Health Project Coordinator. This position serves as a liaison between the telepsychiatry team and our external customers. May train and serve as a resource to new staff. The successful candidate will demonstrate excellent time-management and organizational skills, as well as enthusiasm for supporting our mission to deliver high-quality patient care. Responsible for monitoring own performance on assigned tasks. Self-directed, must make moderate level decisions.

Requirements

High School diploma or equivalent and 2 years of relevant experience required
Demonstrated customer relations skills required
Excellent organizational, oral and written communication skills; high level of attention to details.

Nice To Haves

Associate's degree in Medical, Secretarial or related field
Equivalent combination of education and experience
Medical Terminology, experience with surgical/appointment scheduling software and electronic medical records
High level of proficiency with Microsoft Office products including Outlook, Word and Excel

Responsibilities

Responsible for managing high volume of external referrals to the Telepsychiatry Program.
Ensures referrals are complete before scheduling with the nursing home liaison, including contacting referring facility when additional documentation is needed.
Sends completed new patient visits and follow ups with nursing home liaison via zoom invitation, in eRecord as well as the department spreadsheet.
Handles internal provider as well as referring facility inquiries regarding services.
Serves as a point of contact for calls/emails regarding new referrals to the program.
Communicates with facility when referral is not complete/ready for scheduling appt.
Documents communication on departmental spreadsheet and archives according to department procedures.
Assists in problem identification and resolution with Health Project Coordinator and Senior Health Project Coordinator as well as program nurse.
Coordinates and communicates efficiently with program leadership for patient/facility issues that arise.
Serves as master scheduler for all clinical staff.
Serves as an eRecord Super User.
Assists the customer virtually with Zoom basics and connection issues.
Assist providers in the clinic or virtually with same.
Manages multiple processes in eRecord including messaging in eRecord, In Basket and referral work queue processing.
Faxes completed documentation to nursing homes via eRecord within one business day of visit.
Assures accurate and concise information is entered into the patient legal medical record.
Coordination of referrals to other service lines within the department including teletherapy (Psychology) and Nursing (Nurse Engagement Specialist).