What are the responsibilities and job description for the Referral Coordinator position at PHMC?
PHMC is proud to be a leader in public health.
Our Mission is to be the premier regional provider of integrated, community-based healthcare by combining evidence-based clinical practices, outstanding patient service, innovative care partnerships, and team-driven excellence, within a healthy fiscal environment.
Job Overview
The Referral Coordinator is responsible for scheduling specialist appointments and tracking and following up with health center patients. The Referral Coordinator will report to the Practice Manager.
Age/Patient Populations Served:
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Age of Patient Population Served Neonate (birth - 28 days) Infant (29 days – less than 1 year) Pediatric (1 - 12 yrs) Adolescent (13 – 17 yrs) Adult (18 – 64 yrs) Geriatric (65 yrs & older) Nonage Specific Task (N/A) |
Population Bariatric Patients: BMI greater than 40, or greater than 35 with weight-related comorbidities Patient with exceptional communication needs Patient with developmental delays Patient at the end of life Patient under isolation precautions All Populations |
Essential duties and responsibilities
- Schedule referral appointments for all patients at the center.
- Verify insurance eligibility utilizing the various portals.
- Complete required referral forms.
- Provide directions to referral appointments, as needed.
- Call and send a reminder letter for future appointments.
- Contact patients to remind them of the appointment the business day before the appointment.
- Call the place of referral and determine if the appointment was kept on the day of the appointment, if that information is not in EMR. If the appointment was not kept, re-initiate the process.
- If the results are not in EMR, call the specialist or facility to receive a copy of the result or consultation letter to reconcile the order in EMR.
- Enter completed referral data into the EMR, including the appointment time, data, and location.
- Scan specialist reports into EMR.
- Track and reconcile all referrals. Required to support other sites as staffing or workflow dictates.
- Perform other duties as assigned, which may include scanning.
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Skills:
- Knowledgeable about specialist referrals.
- Data entry experience, particularly with a practice management system.
- Knowledge of medical terminology.
- Must have a pleasant manner.
Front Desk Coverage as Needed:
- Verify appointment and demographics.
- Verify insurance by utilizing the appropriate insurance portal.
- Collect and scan insurance cards and ID into the EMR.
- Check in patients via EMR.
- Upon checking out, print the After Visit Summary (AVS) to give to patients.
- Schedule follow-up appointments.
- Provide transportation support, including SEPTA pass and or parking validation if applicable.
- Assist with appointment confirmation calls for the provider schedules.
Experience:
- One year of experience working either as a Medical Receptionist or a Referral Coordinator in a primary care setting is required.
Education:
- High School Diploma required.
PHMC is an Equal Opportunity and E-Verify Employer.