What are the responsibilities and job description for the Referral Coordinator position at Affinia Healthcare?
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:
License(s)/Certification(s) Required: None Required
Essential Functions
FUNCTIONS OF THE JOB
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
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:
- Ability to communicate effectively with patients and staff in a professional, courteous and effective manner.
- Must be computer literate with exceptional telephone skills.
- Ability to read, writes, speak and understand the English language fluently.
- Possesses high job accuracy, efficiency, and dependability.
- Results and goal-oriented with a philosophy for quality improvement.
- Knowledge of HIPAA regulations, ICD-10 and CPT coding.
License(s)/Certification(s) Required: None Required
Essential Functions
FUNCTIONS OF THE JOB
- Responsible for monitoring all referral reports not received and timely follow-up in accordance with agency policy and procedure.
- Follows up on the referrals in a timely manner to ensure that appropriate care is received.
- 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.
- Communicates with patient on a timely basis for all scheduling requirements.
- Follows protocols for proper authorization and processing of all referrals.
- Enters all referral, hospital, outpatient, and other patient specialty health service authorizations into the computer system according to agency policies and procedures.
- 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.
- Maintains an approachable and appropriate attitude when interacting with all levels of personnel in a rapidly changing environment.
- Forwards referral documents to Medical Records or scans into EMR for inclusion into patient charts.
- Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly.
- Performs other duties as assigned.
- Assists providers in completing all medical documentation needed to provide referral services to patients.
- Documents and updates the most effective method of authorizing referrals.
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