Referrals Coordinator

Title: Machias - Full-Time Referrals Coordinator

• Position Category: Hourly/Non-exempt
• Supervisor: Operations Manager
  
  

Position Description: Coordinates and tracks all patient referrals going in and out of the Office.

All EHC employees are expected to engage and be active participants in quality improvement projects and efforts, risk identification and reporting, attend training and meetings as requested, and contribute to overall team spirit and cooperation. Employee contributions in this regard are valued and necessary for the organization’s successful care of our patients/clients.

Duties/Responsibilities

• Learn all aspects of patient referral processes and managed care referrals
• Develop efficient communication with insurance vendors and service providers by means of phone, internet, fax, or portal to ensure the timeliest correspondents
• Complete prior authorizations, and create and maintain portal accounts with each insurance company as needed.
• Collaborate with healthcare providers on behalf of the patient with scheduling and service needs
• Respond to patient requests and answer questions regarding referral-related business
• Analyze referrals for completeness; scan/upload into the electronic health record (EHR), attach supporting documents
• Collaborate with healthcare providers with a professional and efficient approach.
• Assist patients in qualifying for the Patient Assist Programs.
  
  

Minimum Entrance Requirements

• High school diploma
• Have courteous, efficient, and knowledgeable computer and phone skills
• Prior experience with health insurance is desired but not essential
• Ability to work closely with all staff members to provide prompt and efficient service to patients
• Physical requirements include keyboard operation and sitting for extended periods of time. Ability to lift 25 lbs. and have visual acuity for extended periods of monitor operation. Ability to negotiate stairways
  
  

Essential Functions

• Comprehension: Understands and applies non-routine verbal and/or written instructions.
• Organization: Organize and prioritize individual work schedules to manage multiple tasks and/or projects
• Decision Making: Makes decisions that have an impact on the immediate work unit’s operation and/or services.
• Communication: Communicates and explains a variety of information
• Physical Requirements: keyboard operation and sitting for extended periods. Ability to lift 25 lbs.; Walking/Standing/Bending/Kneeling/Squatting; Visual acuity for extended periods of monitor operation. Ability to use interfaced communication devices (Electronic Medical Record, telephone, internet, etc.)