Job Summary

The Referrals Coordinator is responsible for handling, monitoring and processing ordered referrals and transitions in an accurate and timely manner with follow-up as required. The position coordinates with all stakeholders in the referral process to ensure that patients receive timely and appropriate care and aim for higher patient satisfaction levels. The Referrals Coordinator also manages requests for patient information and records in compliance with statutory and regulatory requirements.

Job Duties

· Processing of medical referrals in a timely, coordinated manner and maintaining ongoing tracking and documentation

· Contacting review organizations and insurance companies to ensure prior approval requirements are met. Completion of service request (direct and prior authorization referrals) forms manually and/or through the EMR

· Ensuring complete and accurate registration, including patient demographic and current insurance information

· Communication of service requests to the relevant department for approvals

· Processing and communicating service requests to the specialty offices for processing and scheduling of patient appointments

· Notifying patients of scheduled appointments by phone, in person with appointment information or by mail and document in the patients chart

· Following up with specialist offices on pending/outstanding patient appointments, consult reports and documents in the patients chart

· Obtaining consult reports; completing and closing referrals in the patient’s charts

· Reporting of referral problems to providers, supervisor and administrator for assistance, and resolution

· Processing Medical Records Requests in compliance with policies and regulations

· Contributing to quality care, customer satisfaction, compliance and membership growth at designated practice site

· Acting as point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns

· Establishing and maintaining relationships with identified service providers.

· Perform other duties as may be required.

· Knowledge of Electronic Medical Record (EMR) and Practice Management (PM) systems are a plus

JOB REQUIREMENTS:

Education and/or Experience

· Minimum High School Diploma or GED equivalent

· At least (1) year of experience monitoring and processing medical referrals.

· At least (1) year of experience in a clinical or managed care setting

Preferred Skills/Experience

· A degree in nursing or related field will be preferred

· Medical Assistant certification

· Knowledge of Electronic Medical Record (EMR) and Practice Management (PM) systems

WORK ENVIRONMENT

All work is performed within a standard health care/primary care clinical setting.

DISCLAIMER

The duties and responsibilities, qualifications, physical conditions and other statements contained herein represent the current general nature of the job described, and are subject to change at any time, with or without notice. This job description does not limit in any way the assignments that may be given to an employee in the job, and employees are expected to perform any and all duties assigned by their supervisor willingly and without reservation.

Job Types: Full-time, Contract

Pay: $16.50 - $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Weekly day range:

• Monday to Friday

Application Question(s):

• Have you ever worked for Lakeview Healthcare System and/or AEGIS Medical Group?

Education:

• High school or equivalent (Preferred)

Experience:

• EHR systems: 2 years (Preferred)
• eClinicalWorks: 1 year (Preferred)
• Insurance verification: 3 years (Required)
• referrals: 1 year (Required)

Language:

• Spanish (Preferred)

Work Location: In person