JOB SUMMARY:

The Referral Coordinator of Community Health Systems, Inc. (CHSI) is responsible for working collaboratively with Providers and multidisciplinary team members to coordinate activities pertaining to referrals; including all necessary paperwork that needs to be coordinated with patients or entities. Responsible for notifying patients of referral status. Ensures referral report and forms are handled per policy and referrals are being processed for follow-up treatment; schedules follow-up treatment in accordance with CHSI policy.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Will smile, speak in a courteous and friendly manner with patients, visitors and staff members.
2. Responsible for completing electronic health record (EHR) tasks per CHSI policy and processing all referrals; (i.e. referrals to any and all outside organizations, and following any and all specific guidelines required by these organizations).
3. Assure all referral documents are completed properly and sent to the referral source. Incomplete/incorrect documents will be returned for necessary changes.
4. Notifies patient of scheduled appointment date/location and instructions for type of referral, when applicable.
5. Charts all communications within EHR policy.
6. Responsible for processing all stat, urgent, and routine referrals per CHSI policy. Utilize the referral report daily for timeliness and accuracy.
7. Refer pending referrals to Clinic Administrators (CA) when timeliness exceeds policy and sends a weekly report on open/pending/closed referrals to the CA.
8. Follow the required guidelines determined by each individual insurance plan/program.
   (i.e. PACT (Family planning program), (PE) presumed eligibility, sliding fee discount program, state health plans, Managed Care, etc.)
9. Responsible for participating in quality improvement projects/activities and accountable for quality and PCMH.
10. Perform all other duties as directed either formally or informally, verbally or in writing.

SUPERVISORY RESPONSIBILITIES:

This job has no supervisory responsibilities.

KNOWLEDGE, SKILLS AND ABILITIES:

• Bilingual (English/Spanish) preferred.
• Must possess good “customer service” including verbal and written communication.
• A high standard of professionalism and professional ethics and conduct is expected in speech, manner, attitude and appearance at all times.
• Possess strong interpersonal skills and ability to work well with others.
• Ability to deal effectively with changing situations and stressful environment.
• Experience in Health Insurance Plan Eligibility, medical terminology and/or referrals preferred.
• Experience working with EHR desirable.
• Ability to perform tasks related to physical activity to complete the responsibilities of the position.