What are the responsibilities and job description for the Client Services Referral Coordinator - San Antonio position at Community Care Partners?
The Referral Coordinator's primary role is to communicate effectively and provide superior service on all work referrals. To review all related paperwork to ensure that it is accurate and complete. To schedule and get approvals on all work comp referrals. Schedule all referrals in a timely manner. The WCRC must provide on-going good service to both our internal and external customers. The WCRC is expected to strictly adhere to the established practice and safety standards.
ESSENTIAL JOB FUNCTIONS AND DUTIES:
Calls Designated Employer Representative (DER) and provides referral status information on work related injuries/illnesses for the assigned clinics
Provides DER and patients the following appointment information
Relates any needed information example: needing x-rays, MRI or CT films
Coordinates Referrals
Contacts adjusters to obtain claim number, policy or insurance information and network information
Obtains authorization from adjusters, employers or third party schedulers
Searches the Network website for list of providers for referrals
Schedules referrals for all specialist
Communicates information between specialist, insurance adjuster, patient, doctors and employers
Obtains and releases medical information according to HIPPA guidelines
Works on referrals for the assigned clinics
Communicates effectively with physicians at assigned clinics
Communicates issues regarding referrals to CSM or DO a timely manner
Scans any medical records provided into patient detail
Keeps the Business Development and Marketing Department updated of all Insurance or specialist contacts
Follows up on all pending referrals daily
Communicates with both the employer and patient for any delays of the referral
Notifies the CSM or DO of any complicated cases needing assistance
Documents specific notes on patients visit notes
Documents all incoming or outgoing information in visit notes
Must be punctual and reliable in attendance
EDUCATION AND TRAINING:
High school diploma or GED required
Graduation from an accredited vocational training program relevant to the position (Ex: Medical Office Specialist, Medical or Office Administrative Assistant, Associates Degree in Medical Administration) OR minimum of 1 year experience relevant to the position
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