Referral Coordinator

Referral Coordinator

Classification : Non-Exempt, Full-time

Reporting Relationship : Reports to the Director of Community Cares

Supervision Responsibilities : No

Essential Role : Responsible for assisting providers with routine paperwork, such as Home Health form, patient forms, etc. Responsible for the planning, implementation and follow-up of patient referrals.

Duties & Responsibilities :

• Schedules patients for ancillary tests and appointments with outside providers.
• Completes referral arrangements utilizing appropriate forms and maintains appropriate logs or paperwork for tracking referrals outside the clinic.
• Explains test or appointment preparation to patients for outside appointments.
• Obtains insurance pre-authorizations or referral confirmation as needed.
• Assists with pre-determining eligibility for Project Access, sends correspondence, faxes, and coordinates with the SRS Project Access staff.
• Communicates with Providers regarding patients referred for ancillary tests / appointments with outside providrs regarding scheduling issues, results, follow-up and other necessary issues.
• Establishes professional relationships with outside providers, labs and medical facilities where patients are referred. Keeps professional communication ongoing to ensure quality patient care, timely referrals and smooth referral operations.
• Returns or receives patient phone calls during office hours or meets with patients in the office to coordinate referrals and appointments.
• Coordinates information necessary to those involved in the patient care process.
• Assists with the flow of patient charts from nurse's station, medical records and provider areas.
• Communicates with front desk staff and supervisor regarding patient flow and services.
• Retrieves tests and / or consultation results from outside sources.
• Maintains and stocks forms and supplies needed in area.
• Maintains patient confidentiality at all times.
• Assists in the development and documentation of protocols related to his or her job functions.

Qualifications :

Education / Certifications / Licenses / Registrations

Experience

Technical Skills

Behavioral

Work Schedule :

Normal schedule is Monday through Friday 8 : 00 am to 5 : 00 pm., schedule may vary.

Working Conditions :

Medical office setting. Ability to sit and / or stand for long periods of time. Bending, stooping, and lifting (up to 50lbs.) may be required. Interaction with physicians, patients and other office personnel. May involve contact with angry, upset or ill persons. May involve potential exposure to blood and body fluids and other hazardous substances. Must have visual acuity and manual dexterity to interface with computer. Must have auditory acuity to handle phone calls.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

This job description has been examined for compliance with the Americans with Disabilities Act (ADA) and the Fair Labor Standards Act (FLSA) (May 1995).

Confidentiality : As an employee of GraceMed Health Clinic, Inc., you are bound by principles of medical ethics. You have both a legal and moral obligation to protect the privacy of our patients. In the course of your work, you will have access to confidential information regarding patients, and / or the practices' confidential business. It is essential that you refrain from any discussions regarding personal information about a patient, a patient's condition, a patient's finances, proprietary company information, and / or the practices' confidential business with any third person. This includes, but is not limited to, other employees, your spouse, family or friends. CONFIDENTIALITY IS SO IMPORTANT THAT ANY BREACH OF THIS POLICY WILL BE CONSIDERED GROUNDS FOR TERMINATION. Review and signature of the Agreement is a condition of employment.