What are the responsibilities and job description for the Referral Coordinator position at Shalom Health Care Center?
Join Shalom Health Care Center and be part of a mission-driven team committed to making a real impact in the lives of underserved and vulnerable populations in Central Indiana. Here you'll have the opportunity to work in a collaborative, diverse, and inclusive environment where your contributions directly contribute to improving public health and addressing healthcare disparities.
We're deeply connected to our local community, providing you with the opportunity to build meaningful relationships and contribute to community well-being. You'll work closely with colleagues, community partners, and volunteers to improve healthcare for all.
You'll grow professionally, take on leadership roles, and enjoy a supportive work-life balance in an organization that prioritizes diversity and inclusivity. Join us in our mission of providing quality health care that is patient-centered, affordable, and accessible for all in our community.
POSITION SUMMARY: The Referral Coordinator manages the seamless referral process for patients. They are responsible for sending and tracking referrals, securing appointments at medical facilities, obtaining necessary documentation, and verifying insurance coverage. They notify patients of appointments, follow up on missed appointments, and handle self-referrals. Additionally, the Referral Coordinator ensures the necessary paperwork is complete, verifies credentials of referral entities, manages the fax inbox, and provides medical interpreting services as well as medical assistant coverage in schools or clinics when needed.
Essential Duties:
1. Send referrals electronically via direct trust email/ provider to provider (P2P) network or by fax.
2. Contact medical facilities to obtain patient appointments as directed by providers.
3. Provide facilities with required documentation for referral eligibility.
4. Secure prior authorization for referrals when indicated.
5. Inform patient and/or family of payment responsibility if applicable.
6. Verify patient insurance eligibility and benefits either electronically or by telephone.
7. Coordinate all activities and patient enrollment for the mammogram screening program.
8. Secure Memorandum of Understandings (MOUs) and requirements from referral entities.
9. Verify credentials/licenses of referral entities.
10. Track all referrals from their origin until they are returned and evaluated by a provider.
11. Notify patient of appointments with date, time, and location.
12. Document follow up with patients who miss referral appointments to include number of attempts made and manner in which those attempts were made (i.e., 3 phone calls, one (1) certified letter with mail delivery confirmation).
13. Follow-up on patients with self-referrals.
14. Monitor fax inbox daily.
15. Scan medical records documentation into EMR.
16. Provide medical interpreting services as needed.
17. Provide medical assistant coverage in schools or clinics as needed.
Education & Qualification Requirements:
- High school diploma
- Experience in a clinical background required
- Experience using Electronic Medical Records (EMR) database (e.g. eClinicalWorks (eCW) preferred)
- Experience or knowledge of a Patient Centered Medical Home (PCMH) preferred
- Bilingual – English/Spanish preferred
- Experience with referral processes and procedures in a health care facility
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Experience:
- Patient-Centered Medical Home: 1 year (Preferred)
Ability to Relocate:
- Indianapolis, IN 46222: Relocate before starting work (Required)
Work Location: In person