What are the responsibilities and job description for the Referral Coordinator position at Appalachian Mountain Community Health Centers?
Job Description
Job Description
Description :
Appalachian Mountain Health (AMH) is a Federally Qualified Health Center (FQHC) that provides comprehensive primary care to low-income, medically underserved and uninsured populations. AMH’s mission - to provide culturally competent, high quality healthcare to the medically vulnerable population in western North Carolina - is rooted in a primary care and preventive services medical home model with fees for services adjusted on the basis of a patient’s ability to pay.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Tracking referrals to ensure they are addressed in a timely manner and monitored until completion; maintaining appropriate documentation in the Electronic Health Record (EHR) throughout the tracking process, including the outcome of the referral
- Completing prior approval / authorization requests for medically necessary services and medications, including contacting public and private payers to ensure all requirements for prior approval / authorization have been met
- Compiling medical and social history as it pertains to referrals and providing the appropriate information to the referred party
- Assisting patients in problem-solving barriers to accessing care and navigating healthcare systems; for example, assisting with transportation, enrolling patients in patient assistance programs and securing interpretation services
- Serving as a system navigator and point-of-contact for patients and their families, including, when necessary and appropriate, advocating on the patient’s behalf with other providers, healthcare organizations and public and private payers
- Working with Project Access, North Carolina Med Assist and other patient assistance programs to ensure access to medication and services and identifying and utilizing community resources with a high degree of cultural competence and patient-centeredness
- Establishing and maintaining referral relationships with identified providers and healthcare organizations
ADDITIONAL DUTIES (as needed)
KNOWLEDGE & SKILLS
Requirements :
REQUIRED QUALIFICATIONS
PREFERRED QUALIFICATIONS
PHYSICAL DEMANDS AND WORKING CONDITIONS
Compensation will be commensurate with experience and education. The position is full-time (40 hours per week), hourly and not exempt from some provisions of the Fair Labor Standards Act (FLSA). The position will be eligible for benefits (e.g. medical, dental, life, short- and long-term disability, retirement) and report to the Regional Practice Manager or Regional Registered Nurse (RN) Manager.
AMH is an equal opportunity employer. We value a diverse workforce and encourage applications from all qualified individuals without regard to race, color, age, sex, gender identity or expression, sexual orientation, religion, marital status, citizenship, disability or veteran status.