REFERRAL SPECIALIST

FIRST CHOICE PRIMARY CARE•Macon, GA

39d•Onsite

About The Position

Schedules referral appointments to assist nurses and physicians in making timely referrals with a systematic approach to tracking documentation that appointments are kept, and reports are received. This position supports PCMH elements specific to continuum of care for the patient.

Requirements

High school graduate; some college courses highly desirable.
Two (2) years prior experience in medical setting.
Must have strong organizational skills.
Ability to multitask and still maintain accuracy and productivity.
Computer skills including, but not limited to; EMR, Microsoft Office, Word, Excel, and internet searches.
Knowledge in setting up systems for tracking and trending, data collection & reporting.
Understands Patient Rights afforded by HIPAA and the patient’s right to informed medical decisions including Patient Centered Medical Home standards for care.
Works successfully in unison with others to create an efficient, harmonious work environment with definite focus on team concept.

Nice To Haves

Experience with the medically underserved diverse populations is preferred
Electronic Medical Record experience preferred.
Medical terminology, diagnosis, and pharmacy nomenclature highly desirable.

Responsibilities

Picks up request for referral from physician through ECW notification.
Schedules referral and notifies the patient of date & time.
If patient reports new or worsened symptom, provider will need to be alerted.
Efaxes all pertinent medical information from ECW to specialist or faxes specialist specific referral forms to facilitate transfer of medical information.
Utilizes ECW referral system to track referrals and support timely feedback/reports on the referral.
Monitors ECW referral system on referral status and calls specialist office to request reports prior to next scheduled visit at FCPC.
If patient does not keep the referral appointment, communicates this information to FCPC physician/provider regarding need to re-schedule the appointment.
Calls patient to discuss his/her desire to re-schedule the appointment. Since it is FCPC’s focus to maintain referral patterns with local specialists, patients must be educated on the importance of keeping these appointments.
Stays up to date on referrals/tests that would require prior authorization and facilitates any paperwork or documentation required.
Utilizes community resources/programs that offer free or discount services for specialty care or diagnostic procedures.
Maintains a current resource list of Specialist Providers, communicates barriers to patient access and the need for additional specialists to Supervisor.
Communicates delinquent trends in receiving reports to QI Coordinator so issues can be addressed since FCPC plays a major role as Patient Centered Medical Home (PCMH).