What are the responsibilities and job description for the Referral Coordinator position at Sulzbacher?
Job Title: Referral Coordinator
Department: Health Services
Job Level: Coordinator
FLSA Status: Non-exempt
Hours: Full-Time
SUMMARY
The Referral Coordinator ensures the effective management of all specialist referrals and assists the patient with navigating the network of physicians, hospitals, outpatient centers, and other components of the health care system. He/she ensures accurate referral documentation and tracking in accordance with applicable regulations and Center policies.
SUPERVISORY RESPONSIBILITIES
This job has no supervisory responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES
Department: Health Services
Job Level: Coordinator
FLSA Status: Non-exempt
Hours: Full-Time
SUMMARY
The Referral Coordinator ensures the effective management of all specialist referrals and assists the patient with navigating the network of physicians, hospitals, outpatient centers, and other components of the health care system. He/she ensures accurate referral documentation and tracking in accordance with applicable regulations and Center policies.
SUPERVISORY RESPONSIBILITIES
This job has no supervisory responsibilities
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Confirms patient eligibility and obtains required information for patient verification (e.g., current address, phone numbers, current doctors, etc.); issues clinic card when verification of eligibility and initial clinic visit is complete
- Verifies insurance information for referral purposes and processes insurance claim for referrals
- Assists patient in completing financial applications when needed/required
- Assembles information concerning patient's clinical background and referral needs and provides appropriate clinical information to specialist
- Assists the patients in obtaining referral appointments for special prescribed medical procedures, including but not limited to scheduling the appointment, arranging transportation as needed, and providing follow up to ensure that referrals are addressed in a timely manner. Review details and expectations about the referral with patients.
- Maintains tracking and appropriate documentation in accordance with regulations, Center or referring organization’s policies (e.g., WeCare); ensures patient's primary care chart is up to date with information on referrals
- Ensures documentation for specialist volunteer health care providers at Sulzbacher Clinics
- Coordinate and tracks the status of all provider reports on patients referred to hospitals, outside clinics and Specialty Providers and follows up for reports/records not received on referred patients.
- Contacts review organizations and insurance companies to ensure prior approval requirements are met; prepares and provides medical information needed for approval
RESIDENT, GUEST AND INTERNAL CUSTOMER FOCUS
The Referral Coordinator is sensitive to cultural, spiritual and practical needs of resident, families, guests and staff members in all interactions.He/she provides positive feedback and comments about the quality of work and effort that have been offered by patients, residents, families and coworkers, and adjusts priorities and schedules to meet specific customer needs. The Coordinator reports and/or corrects problems related to safety, cleanliness and comfort of resident, patient and work areas, and follows Universal Precautions and Infection Control techniques. He/she demonstrates an understanding of their role in facility safety plans and procedures related to fire, weather and other disasters.
EDUCATION and/or EXPERIENCE
Qualifications
- High School Diploma or G.E.D.; Certified Medical Assistant or Nursing Assistant preferred
- At least 1 year medical office experience
- Proficiency in patient data tracking/medical management software
- Excellent interpersonal, customer service and communication skills
- Ability to provide compassionate customer service
- Ability to triage and manage multiple tasks in a fast paced environment
- Ability to provide training and educational seminars/sessions – previous training experience preferred
- Knowledge of medical billing and insurance claim filing
- Ability to pass a Level II Background Screening
Physical/Mental Demands & Working Conditions
- Transportation and valid Florida driver’s license
- Physically able to work in a fast paced environment
- Work various shifts as required to ensure that health services are adequately administered provided to patients
- Ability to travel
- Works in typical clinical office setting
- Must be able to lift 20 pounds
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