Coordinator, Appointment & Referrals

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Time Type:

Full time

Department:

Referrals

All Locations:

300 Ocean Avenue – Revere

Position Summary:

The Appointment and Referral Coordinator is expected to make all patients feel welcome, over the phone or in person, while capturing comprehensive and accurate information. Assemble information concerning patient’s clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist in order to secure appropriate specialty appointment. Utilizes internal and external systems to appropriately request and coordinate referral authorizations for managed care patients and updates system with accurate information. Be the system navigator and point of contact for patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient’s behalf with the insurance carrier to ensure approval of the necessary services for the patient in a timely fashion.

Essential Duties & Responsibilities:

• Verify eligibility of insurance for all patients and identify managed care appointments needing referrals.
• Ensure complete and accurate registration, including patient demographic and current insurance information via NeighborHealth EMR and BMC EMR.
• Place outreach call to patient to obtain information regarding preference on date/time and any scheduling restrictions.
• Confirms patient participation in health plan to ensure prior approval requirements are met.
• Review details and expectations about referral with patients.
• Coordinate and schedule patient’s appointments to specialist providers.
• Clearly communicate with the patient who he/she is being referred to, and any other details regarding the appointment.
• Communicate with patient any information which patient will need prior to the appointment and any instructions to follow.
• Remind patients of scheduled appointments via mail or phone.
• Answer phones and greet callers in a timely and pleasant manner, screen calls, take messages   and provide information to providers, patients, caregivers, specialist and other facilities.

Qualifications & Requirements:

• HS/GED Required.
• Experience in a health care setting- minimum of 2 years, including experience in both front and back office functions.
• Ability to understand and interprets various managed care insurance benefits and guidelines.
• Knowledge of, and experience with medical terminology
• Working knowledge of EMR computer systems for registration, appointment scheduling and managed care options, and the various managed care plan electronic authorization technology.

Benefits

• Medical, dental, and vision coverage.

• Life and disability insurance.

• 401(k) retirement plan.

• Tuition reimbursement.

• Flexible spending and transportation accounts.

• Paid holidays, vacations, sick, and personal time.

• Generous staff development benefit.

• Excellent malpractice coverage.

• Pet insurance.

• And much more.

Pay Range:

Starts at $22 up to $33 based on experience

NeighborHealth opens our doors to people from all demographics and cultures. Our workforce is as diverse as the city we call home - in gender, race, ethnicity, sexual orientation, disability, religion, and age, as well as in cultural backgrounds, life experiences, thoughts, and ideas.

EEO & Accommodation Statement:

NeighborHealth is an equal employment/affirmative action employer. We ensure equal employment opportunities for all, without regard to race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity and/or expression or any other non-job-related characteristic. If you need accommodation for any part of the application process because of a medical condition or disability, please send an e-mail to [email protected] or call 617-568-4480 to let us know the nature of your request

Federal Trade Commission Statement:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website. We do not ask or require downloads of any applications, or “apps.” Job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.

E-Verify Program Participation Statement:

NeighborHealth participates in the Electronic Employment Verification Program, E-Verify. As an E-Verify employer, all prospective employees must complete a background check before beginning employment.