Referral Manager

Description

At Sight360, we are building the region’s premier destination for comprehensive vision care. We are a team of over 130 optometrists, ophthalmologists, surgeons, opticians, and eye care professionals serving more than 100,000 patients across 15 different locations in the Greater Tampa Bay area. From routine eye exams and optical retail, to medical optometry, ophthalmology, and surgical procedures, our patients experience end-to-end personalized care and service.

We care-fully for our patients and are looking for a Referral Manager that has the ability to build a team, improve processes and focus on facilitating a seamless referral workflow to support incoming and outgoing patient referrals.

Requirements

The Manager of the Referrals Team is responsible for developing a standard process for all referral activity for the whole organization. Tracking and measuring the referrals as it relates to the referrals team. Seeking out constant opportunities for process improvements either within the referrals team or clinics, as it relates to referral activity. When needed, acting as a referral coordinator to support the team and maintaining the KPIs set forth for referral activity and processing time.

Essential Functions and Responsibilities:

• Learn all existing referral processes for complete referral lifecycle, including but not limited to, authorizations, being followed at individual Sight360 locations to gain a comprehensive understanding for best practices & necessary nuances
• Develop new, standardized & centralized processes for how the organization will:
• Receive incoming referrals from external sources,
• Receive incoming referrals from internal sources
• Send referrals out to external sources
• Send referrals out to internal sources
• Triage medical & ocular emergent patients for scheduling in our clinics
• Develop training program to roll out newly identified central processes to both the clinical staff & referral coordinators
• Maintain and provide leadership team with ongoing tracking and appropriate documentation or reports on referrals to promote team awareness and ensure patient safety.
• Identify Key Performance Indicators (KPI) for the referrals team in addition to goals structure for direct reports.
• Collaborate with all levels of the organization that may be impacted by referral activity. This includes, but is not limited to, clinic management, executive leadership, Revenue Cycle Management (RCM) team, and Physicians.
• Develop and maintain strong professional relationships with external parties including referring physician office contacts & payor contacts.
• Act as first level escalation point for referrals to for any assistance needed. This may include contact patients, contacting external clinics, payor contacts, internal clinic teams or internal management.
• Performs other duties as assigned

Supervisory Responsibility:

• Position reports to Director – Growth, Integration & Operations
• Manages Referrals team which includes Referral Coordinator roles

Working Conditions and Environmental/Physical Demands:

• Sedentary work that primarily involves sitting/standing.
• Moving about to accomplish tasks or moving from one worksite to another.
• Light work that includes moving objects up to 20 pounds.
• Communicating with others to exchange information.
• Repeating motions that may include the wrists, hands and/or fingers.
• No adverse environmental conditions expected.

Position/Type/ Expected Hours of Work:

• This is a full-time position and core hours of work and days are Monday through Friday 8:00 a.m. to 5:00 p.m.
• Potential for evening and weekend hours as required.

Qualifications:

• High School Diploma or equivalent
• Minimum 2 years’ experience with referrals; ophthalmology strongly preferred
• Key eye for process improvement and development
• Strong ability to train and implement new processes
• Ability to identify operational inefficiencies through practice or reporting
• Bi-lingual English/Spanish preferred; must be able to read, write and speak English.
• Excellent Patient Service Skills
• Ability to communicate effectively with physicians and other clinical professional staff
• Proficient with Microsoft Outlook, Word, Excel and Sharepoint
• Strong people skill, independent decision making and patient service oriented.
• Expertise knowledge of medical terminology and Anatomy
• Knowledge of medical terms, ICD9 and CPT codes.

Skills and Abilities:

• Excellent communication(oral and written), Patient Service and telephone skills.
• Excellent organizational skills and ability to multi-task effectively.
• Detail oriented and able to work efficiently in a stressful environment.
• Strong sense of teamwork.
• Able to respect and maintain patient confidentiality at all times.
• Must be able to work with the Practice Management System.
• Must be able to work independently.
• Must be able to follow policies and procedure.
• Ability to read and interpret medical records.

Benefits:

• PTO (accrues beginning immediately upon hire)
• 8 paid holidays
• Medical, Dental, Vision
• Annual Eyewear Benefits
• 401k and match

Salary : $24 - $27