POSITION SUMMARY: Responsible for providing customer-friendly referral initiation to medical providers and nursing staff. Responsible for total coordination and processing of patient referrals for specialty services. Completes all administrative functions associated with referral activities in a timely manner.

POSITION QUALIFICATION REQUIREMENTS

Education: Minimum High School graduate or equivalent. Graduate from an approved medical assisting or other health related program preferred.

Experience: Three (3) years' experience in a medical office, ambulatory care, or similar setting. Experience with referral processing preferred.

Skills and Abilities which may be representative but not all inclusive of those commonly associated with this position:

1. Ability to communicate effectively with patients and staff in a professional, courteous and effective manner.
2. Must be computer literate with exceptional telephone skills.
3. Ability to read, writes, speak and understand the English language fluently.
4. Possesses high job accuracy, efficiency, and dependability.
5. Results and goal-oriented with a philosophy for quality improvement.
6. Knowledge of HIPAA regulations, ICD-10 and CPT coding.

Residency and Transportation Requirement: None

License(s)/Certification(s) Required: None Required

FUNCTIONS OF THE JOB

Essential Functions

1. Responsible for monitoring all referral reports not received and timely follow-up in accordance with agency policy and procedure.
2. Follows up on the referrals in a timely manner to ensure that appropriate care is received.
3. Attempts to answer all scheduled referrals within 2 business days (72 hours) of scheduled date or notify the Lead Referral Coordinator when such follow up is impossible.
4. Communicates with patient on a timely basis for all scheduling requirements.
5. Follows protocols for proper authorization and processing of all referrals.
6. Enters all referral, hospital, outpatient, and other patient specialty health service authorizations into the computer system according to agency policies and procedures.
7. Ability to successfully navigate between multiple systems throughout the course of the workday this includes but is not limited to billing software, payer portals, and multiple EMRS.
8. Maintains an approachable and appropriate attitude when interacting with all levels of personnel in a rapidly changing environment.
9. Forwards referral documents to Medical Records or scans into EMR for inclusion into patient charts.
10. Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly.
11. Performs other duties as assigned.

Marginal Functions:

1. Assists providers in completing all medical documentation needed to provide referral services to patients.
2. Documents and updates the most effective method of authorizing referrals.

Supervises: None

NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT

NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES

AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS