What are the responsibilities and job description for the REFERRAL SPECIALIST position at HEART OF OHIO FAMILY HEA LTH CENTERS?

Job Description

Summary : This position supports the Organization by functioning as a liaison between patients and health care providers or agencies in assisting, organizing, coordinating, and providing optimal health care service.

Reports to : Clinical Systems and Quality Manager

Supervises : N / A

Dress Requirement : Business casual

Work Schedule :

Monday through Friday during standard business hour

Times are subject to change due to business necessity

Non-Exempt

Job Duties , these are considered essential to the successful performance of this position :

Collects and evaluates information about a patient in regard to opportunities to assist in achieving patient / family need, continuity of care and realistic outcomes
Refers and coordinates appropriate processes as assigned
Researches, documents and informs co-workers and patients about the available health resources at the local, state and federal levels
Notifies the patient of appointments scheduled, makes follow-up calls to specialist to ensure that client attended appointments and reminds provider to submit a Consultation Report
Maintains competency in obtaining and inputting medical information to and from clinical and / or other information systems including accessing information as required to complete the referral process
Accurately, clearly and efficiently documents actions taken and activities performed
Provides continuity of care to each patient and their family members
Completes Prior Authorizations / Pre-Certification for procedures for that patients are referrals
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice

Job Qualifications (Experience, Knowledge, Skills and Abilities)

Preferred associate degree or higher. Experience with healthcare referrals preferred.

Experience with Medical Assisting preferred.

Willingness to work with all cultural and socioeconomic groups without judgment or bias

Demonstrates ability to cooperatively work / mediate with all age groups and family groups

Compliance with the HIPAA law and regulation; ability to confidentially retain information, passing only necessary information to those needed to perform their duty

Ability to work with minimal supervision and exercise sound independent judgment

Excellent familiarity and application with medical terminology

Equipment Operated : Telephone

Computer

Printer

Fax machine

Copier

Scanner

Credit card machine

Calculator

Other office equipment as assigned

Facility Environment :

Heart of Ohio Family Health operates in multiple locations, in Columbus, OH area. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. All facilities are ADA compliant.

The office area is :

kept at a normal working temperature

sanitized daily

maintains standard office environment furniture with adjustable chairs

maintains standard office equipment; ie, computer, copier, fax machine, etc. at a normal working height

Physical Demands and Requirements : these may be modified to accurately perform the essential functions of the position :

Mobility = ability to easily move without assistance

Bending = occasional bending from the waist and knees

Reaching = occasional reaching no higher than normal arm stretch

Lifting / Carry = ability to lift and carry a normal stack of documents and / or files

Pushing / Pulling = ability to push or pull a normal office environment

Dexterity = ability to handle and / or grasp, use a keyboard, calculator, and other office equipment accurately and quickly

Hearing = ability to accurately hear and react to the normal tone of a person’s voice

Visual = ability to safely and accurately see and react to factors and objects in a normal setting

Speaking = ability to pronounce words clearly to be understood by another individual

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REFERRAL SPECIALIST

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