Primary Care Referral Coordinator

POSITION SUMMARY:

Supporting primary care, the referral coordinator will improve the overall patient experience by coordinating appointments. They will also coordinate population health related outreach efforts and patient engagement.

DUTIES AND RESPONSIBILITIES:

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. This tracking may use an IT database.
• Ensure complete and accurate registration, including patient demographic and current insurance information.
• Assemble information concerning patient's clinical background and referral needs.
• Per referral guidelines, provide appropriate clinical information to specialist.
• Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
• Review details and expectations about the referral with patients.
• Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
• Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
• Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
• Ensure that referrals are addressed in a timely manner.
• Remind patients of scheduled appointments via mail or phone.
• Ensure that the patient's chart is up to date with all information related to their health.
• Managers internal and external referral queues and quickly follows up with patients after a referral is placed.
• Conducts patient outreach to facilitate scheduling of essential preventative care visits (e.g., new visit consults, annual preventative exams/physicals, child well visits, health screenings, etc.)
• Ensure seamless patient care coordination
• Strive to embody FastMed’s core values of STAT (Service, Teamwork, Accountability, Transparency) and embrace FastMed’s philosophy of Compassionate Hospitality

QUALIFICATIONS:

Education (Preferred): Associate Degree 

Experience: At least two years’ experience in the medical field 

• Understands and values the importance of a team approach and conflict resolution in dealing with patients
• Significant experience to managing high volume internal and external referrals in EPIC. 
• Previous experience in an urgent care setting is preferred
• Typing and computer knowledge

PHYSICAL DEMANDS:

The physical demands and work environment characteristics described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While working the essential functions of this job, the employee is occasionally required to stand, walk, sit, life, carry, use hands to handle or feel objects, tools or controls, reach with hands and arms, climb stairs, balance, stoop, kneel, crouch or crawl, talk hear and lift and/or move up to 40 pounds.

WORK ENVIRONMENT:

While performing the essential functions of the job the employee comes in contact with patient in a wide variety of circumstances.  The employee may be exposed to unpleasant situations including accidents, injuries, illnesses, patient elements and varying or unpredictable situations.

In person/on-site, 5 days a week.