What are the responsibilities and job description for the Referral Mgt Coordinator position at Tufts Medical Center?
GENERAL SUMMARY:
Performs more complete administrative support duties in a medical clinic office.
PRINCIPAL DUTIES AND ESSENTIAL FUNCTIONS:
1. Has primary responsibility for scheduling all tests, and for scheduling surgeries as applicable.
2. Obtains pre-certification and referral data from patients.
3. Acts as liaison with Patients Accounts to track payments,
4. Receive phone calls, and obtains patient medical records.
5. Encounters patients Answers phones, takes messages and assists patients and families in resolving issues.
6. Schedules interpreters for patient visits as needed.
7. Schedules follow-up appointments.
8. Verifies insurance information, requests and processes insurance referrals as required.
9. Researches and resolves insurance issues.
10. Enters data into computer files.
11. Collects co-payments as applicable.
12. Orders labs and x-rays in Order Entry Data System.
13. Processes inpatient, procedures, and satellite billing.
14. Prepares Batch headers and sends to appropriate place.
15. Processes clinic schedules for satellite clinics as applicable.
16. Responsible for medical billing and transcription.
17. Responsible for sorting mail, faxing necessary records, and filing.
18. Performs other similar and related duties as required or directed.
JOB REQUIREMENTS:
A. JOB KNOWLEDGE AND SKILLS:
1. Prior experience working in a clinic or inpatient unit preferred.
2. Computer literacy required including familiarity with word processing programs and electronic spreadsheets and facility in learning new applications. Ability to learn and use SMS and other NEMC network programs required.
3. Some knowledge of third party billing preferred.
4. Require excellent interpersonal and organizational skills.
5. Ability to maintain confidential medical information.
6. Bilingual skills preferred.
B. EDUCATION:
1. High School diploma with specialized training in business office skills.
C. EXPERIENCE:
1. 1-2 years medical office experience.
An equivalent combination of education and experience, which provides proficiency in the areas of responsibility listed above, may be substituted for the above education and experience requirements.
V. WORKING CONDITIONS/PHYSICAL DEMANDS:
1. Normal office environment.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts. Comprised of Tufts Medical Center, Lowell General Hospital, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Care at Home — an expansive home care network, and large integrated physician network. Please note that effective October 1, 2021, as a condition of employment at Tufts Medicine, all employees and new hires must have received their complete dose of the COVID-19 vaccine, unless they have been granted an exemption. We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. Tufts Medicine does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation by emailing us at careers@tuftsmedicine.org.
Salary : $41,100 - $52,100