TITLE: Referral Coordinator
POSITION STATUS: 1765 Townsend Ave, Bronx, NY
REPORTS TO: Director, Practice Management
DEPARTMENT: Primary Care
FLSA STATUS: Non-Exempt
SUMMARY OF POSITION:
The Referral Coordinator is an integral part of the Primary Care team; he/she is responsible for the coordination and scheduling of off-site specialty appointments and the appropriate documentation of such. He/she is also responsible to obtain consultation reports and corresponding information from specialty service and enter for review by healthcare team. He/she works closely with the medical/nursing and case management staff in medical services to ensure closure of the referral loop.
� Adhere to performance standards based on program specifications and level of service requirements, including completion of all necessary documentation in the EHR in a professional manner within the designated time frames.
� Responsible for creating specialty appointments as designated by the provider. Notifies patients of scheduled appointments.
� Obtains authorizations for specialty referrals including but not limited to diagnostic testing services and surgical interventions
� Monitors progress of referral appointments and follows organizational guidelines on obtaining consultation reports.
� Monitors internal referrals by ensuring appointments are met and documented as such.
� Maintains current knowledge of external referral sources.
� Follows policy and guidelines for appropriate patient and professional communications.
� Reviews daily fax log in EHR and distributes documentation appropriately.
� Participates in staff training, CQI projects and other functions as directed by supervisor.
The above is intended to describe the essential job functions, the general supplemental functions and the essential requirements for the performance of the job. It is not to be construed as an exhaustive statement of all the job functions.
ADDITIONAL RESPONSIBILITIES and QUALIFICATIONS:
Be sensitive, flexible and responsive to gender, race, ethnicity, socio-economic status, religion, age, sexual orientation or any other special needs as reflected in the ability to communicate with staff and/or clients. Uphold and advance the values, ethics, knowledge and mission of the profession. Respect the privacy of clients in accordance with HIPAA and hold in confidence all information obtained in the course of professional service. Personal qualities of warmth, empathy sense of responsibility and the ability to work in a team setting are essential; effective communication skills a must..
High School Diploma/GED with relevant background experience or some college. He/she must have the ability to work well under pressure and to multi-task. Excellent phone etiquette and customer service skills. Experience working with Medicaid, Medicare and other public and private health insurance companies. She/he must have computer experience with Microsoft Outlook, Word, Excel and Power Point.