What are the responsibilities and job description for the Referral Coordinator position at Northern Valley Indian Health?
Job Description
Under general supervision from the Clinic Support Supervisor, the Referral Coordinator's primary functions are coordination, processing, scheduling and ensuring quality control through tracking and other supportive measures of medical referrals and prior authorizations for a variety of medical services / procedures for patients as requested by healthcare providers. As an integral member of the health care team, the Referral Coordinator will collaborate with other referral staff, healthcare providers, and other patient care support staff.
ESSENTIAL JOB FUNCTIONS : The list that follows is not intended as a comprehensive list, but rather to provide a representative summary of the major duties and responsibilities. Incumbent(s) will be required to perform a variety of duties listed, including but not limited to :
- Works as a team with other staff to provide the best patient experience, including but not limited to cordial customer service, teamwork with other work units and collaboration within front and back-office support team.
- Gathers pertinent information as needed via EHR and / or from clinical team to accurately complete, process, and track referrals in a timely manner.
- Accurately and effectively utilizes third party payer / insurance portals;
- Works with provider and nursing staff to ensure the proper use of CPT and current ICD codes to meet the requirements of third-party payers and specialty clinics.
- Assists in scheduling and confirming referral appointments directly with healthcare specialists on behalf of patient.
- Responsible for referral report management and reporting to supervisor.
- Organizes and prioritizes workload based on assessing and prioritizing patient care and business needs
- Other duties as assigned
All NVIH employees are expected to :
Experience and Skills
The following knowledge, skills, and abilities are required for an employee to successfully perform their duties.
Native Preference : Preference in filling vacancies will be given to qualified Native candidates, in accordance with the Native Preference in hiring practices. In other than the above, NVIHis an Equal Opportunity and At Will Employer.
Job Benefits
Competitive benefits package including Medical, Dental, Vision; Company paid long term disability (LTD) and life insurance; generous Paid Time Off (PTO) package; 14 paid holidays; 401K plan participation opportunity.
