Referrals

Suncoast Community Health Centers•Brandon, FL

3d•Hybrid

About The Position

This role involves processing patient referrals to internal and external specialists and services, ensuring timely and accurate submission of required documentation and insurance authorizations. The position requires coordinating client referrals, communicating with outside agencies and providers, and tracking referral statuses. Maintaining accurate records in both manual systems and the electronic health record (EHR) is crucial. The individual will instruct patients on referral procedures, collaborate with staff to address inquiries, and identify and report issues in the referral process. Compliance with federal, state, and organizational policies, including HIPAA, is essential. The role also includes scheduling appointments, managing patient inquiries, updating patient records, processing insurance verification, billing, and coding, and ensuring infection control policies are followed. Additionally, the position involves managing office supplies, medical equipment inventory, and assisting with general office tasks and special projects.

Requirements

High School Diploma or equivalent is required.
Excellent verbal and written communication skills.
Excellent interpersonal and customer service skills.
Excellent organizational skills and attention to detail.
Excellent time management skills with a proven ability to meet deadlines.
Strong analytical and problem-solving skills.
Ability to prioritize tasks and to delegate them when appropriate.
Ability to function well in a high-paced and at times stressful environment.
Ability to perform precise manipulations through the regular use of office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.
Proficient with Microsoft Office Suite, Electronic Medical Records (EMR) and related software.
Prolonged periods of sitting at a desk and working on a computer.
Ability to stand and move throughout the clinic for extended periods.
Frequent bending, stooping, kneeling, and crouching to assist patients or perform procedures.
Ability to wear personal protective equipment (PPE) for extended periods, including masks, gloves, and gowns.
Must be able to lift up to 15 pounds at times.
Must be able to travel to various center locations as required.

Responsibilities

Process patient referrals to internal and external specialists and services, ensuring timely and accurate submission of required documentation and insurance authorizations.
Coordinate client referrals and communicate with outside agencies and providers to facilitate appointments and services.
Track referral statuses and follow up with providers, patients, and external offices as needed to ensure timely completion.
Maintain accurate and up-to-date referral records in both manual systems and the electronic health record (EHR) system.
Instruct patients on referral procedures, providing clear information about timelines, required documentation, and follow-up actions.
Collaborate with clinical and administrative staff to address referral-related inquiries and meet patient needs promptly.
Identify and report issues in the referral process to the supervisor for corrective action.
Ensure compliance with federal, state, and organizational policies related to referrals, including HIPAA privacy standards.
Stay informed about changes in insurance policies, referral requirements, and provider networks to ensure smooth coordination.
Assist with general office tasks, such as preparing reports on referral metrics, organizing documentation, and supporting team operations.
Schedule appointments, follow-ups, and referrals, ensuring smooth patient flow and office coordination.
Handle patient inquiries, confirm appointments, and assist with check-ins and check-outs, ensuring accurate documentation for visits.
Update and maintain patient records in the electronic health record (EHR) system, ensuring accurate and timely documentation.
Process insurance verification, billing, and coding information, as required.
Ensure infection control policies are followed, including sterilizing instruments and maintaining a safe and clean environment.
Manage office supplies, medical equipment inventory, and assist with filing, faxing, and correspondence tasks.
Maintain patient confidentiality and adhere to HIPAA guidelines in all interactions and record management.
Conduct daily chart audits and review for the following day's appointments.
Assist with special projects or additional tasks as directed by healthcare providers or office managers.
Perform additional tasks as needed to support the centers.