Referral Coordinator

Hours: M-F 8am-4:30pm or 8:30am-5pm, with every 6th weekend on call

Job Summary:

The Skilled Nursing Facility Referral Coordinator is responsible for managing and processing patient referrals to ensure a smooth intake process. This role involves data entry, verification, and communication tasks within the Careflow system, as well as handling clinical documentation and financial checks. The Coordinator must be adept at multitasking, detail-oriented, and capable of providing timely updates to both internal teams and external partners.

Key Responsibilities:

• Referral Reception and Management
• Receive and process referrals via Careflow, phone, fax, or electronic referral sources.
• Ensure electronic referral notifications are active and monitor central channels for any missed referrals.
• Check and respond to faxes and emails throughout the day.
  
  
  

Data Entry and Verification

• Accurately enter patient demographics, referral source, resident contact information, and address into Careflow.
• Conduct background checks in Careflow to verify that patients are not listed as sex offenders; deny referrals if they meet red-light criteria.
  
  
  

Clinical Documentation Upload

• Upload necessary clinical documents into Careflow, including:
• Face sheet
• History & Physical (H&P)
• Most recent MD notes
• Medication list
• PT/OT/ST evaluations and recent notes
• Provide updates on referral statuses every other day or as requested by the facility.
• Financial Checks
• Retrieve and review MEDI and HIQA reports.
• Request, verify, and follow up on patient benefits from GCHMO; resolve any issues related to benefits.
• Cost out high-cost medications as requested, sending Careone emails and uploading relevant information to Careflow.
• Support and Backup
• Provide backup support for liaisons as needed, ensuring continuity of care and operations.
  
  
  

Qualifications:

• Education: High School Diploma or equivalent; Experience in Healthcare or related field preferred.
• Skills:
• Proficiency in Careflow and other relevant software applications.
• Strong attention to detail and accuracy in data entry and documentation.
• Excellent organizational and multitasking abilities.
• Effective communication skills, both written and verbal.
• Ability to handle sensitive information with confidentiality.
  
  
  

Work Environment:

• Fast-paced office environment.
• Regular use of computers and office equipment.
• Interaction with various departments and external referral sources.
  
  
  

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