What are the responsibilities and job description for the Referral Coordinator position at Eisenhower Medical Center?
Job Objective: A brief overview of the position.
Coordinates patient care with responsibility for incoming patient referrals, including insurance referrals, obtaining Prior Authorization for Managed Care Patients, and front office duties. Assigned work queues include organizing documents to be centrally scanned, preparation of medical charts, returning phones calls, facilitating physician orders, and working in conjunction with clinical staff.
Reports to
LVN Practice Manager / CAO
Supervises
N/A
Ages of Patients
Pediatric
Adolescent
Adult
Geriatric
Blood Borne Pathogens
Minimal / No Potential
Qualifications
Education
Preferred: College courses
Licensure/Certification
Preferred: Medical Assistant Certificate, medical terminology
Experience
Required: Previous experience in medical office
Essential Responsibilities
Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Manages clinic EMR referral work queues. Facilitates referral to intended clinic in a timely manner.
Ensures that all appropriate patient documentation is transmitted to external referrals.
Manages clinic EMR incoming referral work queue. Facilitates patient appointments.
Maintains an open and collaborative relationship with clinics and departments to facilitate seamless referral process.
Contacts insurance companies to obtain authorization for ordered treatment.
Answers all incoming telephone requests and responds to correspondence accurately, ensuring timely resolution.
Audits accounts to verify accurate and complete patient, guarantor and insurance carrier information to ensure appropriate billing and follow-up.
Submits required documentation to support treatment.
Manages and organizes all outgoing documents sent to central HIMS for scanning/indexing. Ensures proper patient identification on each document and appropriateness of documents to be scanned.
Covers front desk duties as needed.
Prepares patient charts timely and accurately.
Gathers reports to complete charts.
Coordinates placing orders for films, labs and other studies as appropriate in a timely and accurate fashion.
Answers all patient questions and requests timely and appropriately.
Answers phones, retrieves voicemail messages and returns calls timely and appropriately.
Maximizes use of free time between patients and other tasks to clean and stock rooms, copy documents and file.
When assigned: Obtains medical history (vital signs) and assists physicians so that appropriate preparation and diagnostic testing occur without error or delay.
Collaborates on the scheduling of new patients and follow up visits.
Assists with medical and office supplies ordering.
Performs other duties as assigned.
Employment Type: Full Time
Shift: Day
Hours: 8 Hour Shift
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