Referral Coordinator

Job Description

Job Description

Description :

Founded in 1866, The Floating Hospital (TFH), is one of the last remaining charity hospitals in New York City. Our commitment is the same as it was more than 150 years ago : unrestricted healthcare to all who walk through our doors, regardless of immigration and insurance status, or the ability to pay. The Floating Hospital welcomes individuals of all ages, from infants, school age children (5 ), youth and adults. TFH is a Federally Qualified Health Center and the largest provider to homeless families living in family shelters and domestic violence safe houses throughout all five boroughs.

Essential Functions :

• Maintain ongoing scheduling of referral appointments; tracking and appropriate documentation on referrals to promote staff awareness of the referral process
• Assemble information concerning patient's clinical background and referral needs as per referral guidelines; provide appropriate information to supervisor and referring providers
• Remind patients of scheduled appointments, via mail, and / or phone.
• Schedule patients accordingly based on a variety of factors - urgency, patient need, insurance coverage, provider’s office availability, etc.
• Answer telephones and take messages or transfer calls when needed.
• Be responsible for aiding patients in scheduling appointments with specialists and reminding patients of the appointments.
• Ensure complete and accurate registration, including patient demographic and current insurance information.
• Ensure that referrals are addressed in a timely manner
• Manage daily workload and maintain an organized workspace.
• Work with patient’s insurance company to obtain benefits and precertification. Validate all necessary referrals and / or authorizations for scheduled services in the patient’s medical record.
• Understand the insurance process (i.e. which insurances need pre- authorization for procedures and services needed), verify insurance eligibility, benefits and referrals according to the service scheduled and insurance provided.
• Request consultation reports after specialist visit with patient. Follow up with specialist within two weeks of patient’s appointment to ensure he / she has kept their appointment and request a copy of the consultation report
• Follow up with patients to schedule their next appointment with their PCP to discuss results.
• Review and resolve referrals and / or authorization issues not valid for internal specialty services, such as, cardiology and podiatry. Contact physician’s office if necessary to have referral and authorization submitted, to ensure accuracy and avoid potential denial of reimbursement.
• Review details and expectations about the referral with patients.
• Establish and maintain relationships with identified outside referral providers, hospital, and clinics.
• All other duties assigned.

Requirements :

Associate’s Degree or higher or an equivalent in training and / or experience; at least two years of outstanding customer service / problem-solving and front desk / registration / referral experience preferred; must exercise good judgement

and be resourceful in problem solving; strong knowledge of MS Office applications and excellent computer skills required; prior EMR experience desirable. Must be used to working in a high-volume atmosphere and possess superior communication skills.

The successful candidate will be familiar with medical terminology and procedures, have a strong knowledge of medical billing, coding, and recordkeeping, maintain effective, professional working relationships with patients and medical facilities, and be able to communicate effectively and pleasantly with all levels of staff and management.