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Referral Coordinator

Referral Coordinator

Affinia HealthcareSaint Louis, MO, US
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Job Description

Job Description

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 :

  • 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.

Residency and Transportation Requirement : None

License(s) / Certification(s) Required : None Required

FUNCTIONS OF THE JOB

Essential Functions

  • 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.
  • Marginal Functions :

  • Assists providers in completing all medical documentation needed to provide referral services to patients.
  • Documents and updates the most effective method of authorizing referrals.
  • Supervises : None

    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

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    Referral Coordinator • Saint Louis, MO, US

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