What are the responsibilities and job description for the Referral and Outreach Coordinator position at Huggins Hospital?
Job Details
Description
Under the supervision of the Patient Access Supervisor, is responsible for representing Huggins Hospital in a professional, friendly, and respectful manner, while facilitating the patient's care through the timely processing of outbound referrals and facilitating the closure of care gaps using a proactive outreach approach.
Referral Coordination
Prior experience in a healthcare institution preferred; knowledge of medical terminology; excellent interpersonal communication; demonstrated computer skills; ability to be very detail-oriented.
Description
Under the supervision of the Patient Access Supervisor, is responsible for representing Huggins Hospital in a professional, friendly, and respectful manner, while facilitating the patient's care through the timely processing of outbound referrals and facilitating the closure of care gaps using a proactive outreach approach.
Referral Coordination
- Identifies the need for referrals by working the Referral Orders in Allscripts EMR daily.
- Verifies patient insurance information and obtains insurance authorization for referral, as necessary
- Complete Referral within Allscripts per the Best Practice guidelines, sending appropriate clinical documentation with referral
- Reviews referral details with patients, as necessary
- Works with providers and patients to determine appropriate specialist for the patient to see
- Assists patients in problem solving potential barriers in going to specialty appointments
- Works Updox queue to identify flagged returned referral notes and mark referrals as completed within EMR
- Utilizes appointment confirmation tools to ensure appointments are confirmed in a timely manner. Proactively calling patients who have not confirmed electronically.
- Calls patients who request to cancel or reschedule their appointments to schedule a new appointment.
- Makes same-day calls to patients who do not present for their appointment to check in and reschedule the appointment
- Reschedules appointments as dictated by the practice for reasons such as provider PTO, emergent surgery needs, sick time, etc.
- Creates Nursing Home appointments and visits in the EMR to facilitate Charge Capture while facilitating request for Nursing Home documentation, as needed
- Accurately utilizes the Electronic Records per the Best Practice Workflows:
- Utilizes the system to accurately search/create a patient vs. a person, preventing duplication of patient accounts; and
- Completes daily work lists (referrals, waitlist, no-shows) providing timely care and response to the patients
- Attendance: Attendance is an essential job function; employee comes to work daily, on time, and completes scheduled shift
- HIPAA: facilitates to maintain patient confidentiality
- Internal communication: contributes to positive team performance and a culture of service excellence through effective communication, active listening, and respect
- Interpersonal relationships: maintains appropriate interpersonal relationships with staff, patients, and visitors at all times. Works as a team member with other departments.
- Safety: Practices workplace safety daily
- Actively participates in all hospital Service Excellence initiatives and trainings
- Attends and participates in a minimum of 50% department staff meetings and signs off on review of 100% department staff meeting minutes
- Completes all required annual education on or before the due date
- Minimal physical effort required with occasional light lifting to a maximum of 25 pounds; stooping; and pick, pinch, type, or otherwise work primarily with fingers
- Ability to effectively manage considerable mental stress
- Ability to express or exchange ideas by means of the spoken word
- Ability to receive detailed information through oral communication
- Ability to communicate effectively with co-workers and convey information in a clear, concise and accurate manner
- Familiarity with computer and other business machines
Prior experience in a healthcare institution preferred; knowledge of medical terminology; excellent interpersonal communication; demonstrated computer skills; ability to be very detail-oriented.