Referrals

Suncoast Community Health Centers Inc.

1d•Hybrid

About The Position

This role focuses on processing patient referrals to internal and external specialists and services, ensuring timely and accurate submission of required documentation and insurance authorizations. The position involves coordinating client referrals, communicating with outside agencies and providers, and tracking referral statuses to ensure completion. Maintaining accurate referral records in both manual systems and the electronic health record (EHR) system is crucial. The role also includes instructing patients on referral procedures, collaborating with staff to address inquiries, identifying and reporting process issues, and ensuring compliance with relevant policies, including HIPAA. Staying updated on insurance policies and provider networks is essential. Additionally, the position supports general office tasks such as preparing reports on referral metrics and organizing documentation.

Requirements

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 use office equipment, including computers, copy machines, fax machines, telephones, calculators, and more.
Proficient with Microsoft Office Suite, Electronic Medical Records (EMR) and related software.

Nice To Haves

Ability 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.
Perform additional tasks as needed to support the centers.