Clinic Patient Account Rep II Referral Coordinator

Description

Job Summary:  The Referral Coordinator works under the delegation of the clinic administrative manager to perform duties as directed and assist with incoming specialty referrals. This role is responsible for referral coordination tasks for General Surgery, OB/GYN, Wound Care, and Behavioral Health. These tasks include patient registration, verification of benefits, appointment scheduling, and answering phones. This job description defines the tasks and responsibilities normally expected of the Referral Coordinator. 

Education Background and Experience

Minimum Qualifications:

· High school graduate or GED

Required Licensure / Certifications:

· N/A

Required Experience:

· 1-2 years experience.

· Strong customer service skills 

Preferred Qualifications:

· Experience with the Cerner   electronic health record system

· Referral Coordination Experience

· Proficient in Microsoft Office

· Bilingual in English/Spanish

Referral Coordinator Duties

• Schedules incoming outside referrals for General Surgery, OB/GYN, Behavioral Health and Wound Care.
• Maintain ongoing tracking and appropriate documentation on referrals.
• Ensure referrals are addressed in a timely manner, according to referral policy. 
• Ensures complete and accurate patient registration, including patient demographics      and current insurance information. 
• Assemble information concerning patient’s clinic background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
• Contact organizations and insurance companies to ensure prior approval requirements are met. 
• Assist patients in problem  solving potential issues related to health care system, financial, and social barriers.
• Point of contact for patient  and families to have direct access for asking question, regarding referrals  and appointments.
• Remind patients of scheduled  appointments.

Essential Job Functions

1. The referral coordinator has frequent contact with the public and often handles sensitive information and will maintain the confidentiality of all patient-hospital or physician-related information.

2. Coordinates patient care along with his/her team leader throughout the shift. 

3. Handles all requests with a positive attitude at the time the request is made. Cooperates with team members in a constructive and supportive manner. Demonstrates ethical conduct and practices in carrying out delegated duties within the scope of practice.

4. Has a strong knowledge base of the scope of practice, and demonstrates the ability to function within the scope of practice.

5. Assists with answering phone calls.

6. Assists with medical records

7. Participates in safety, disaster, and fire protection programs.

8. Follows normal chain of command.

9. Covers for absentee staff as appropriate. 

10. Performs other relevant duties as assigned.

The above job summary and essential job functions are intended to describe the nature and level of work being performed. It is not an exhaustive list of all responsibilities, duties, and skills required of personnel for this job classification.

Requirements

Professional Requirements

· Adheres to dress code, appearance is neat and clean

· Completes annual organization-required and/or job-required educational requirements

· Maintains regulatory requirements

· Wears identification while on duty

· Attends staff meetings and/or reads all meeting minutes

· Reports to work on time and as scheduled, completes work within the designated time

· Maintains employee/patient confidentiality

· Represents the organization in a positive and professional manner

· Participates in the department’s performance improvement activities

· Demonstrates the mission, ethics, and goals of the organization as well as the departmental Scope of Service

· Communication with patients, guests, family, and staff is courteous, respectful, and helpful

· Maintains a clean, safe, and accident-free environment

Mid-Valley Hospital offers a benefit package. This includes accrued vacation time in the amount of .076923 vacation hours per hour worked. Accrued sick leave at an accrual of .04615 per hour, Life insurance and a profit-sharing plan. We also offer medical, dental and vision insurance plans. Employees can enroll in a 403(b) deferred compensation plan and/or a 457 deferred compensation plan.