Referral Coordinator - Deane Hill/Northshore

Deane Hill/Northshore is seeking a Referral Coordinator. The referral coordinator is responsible for the arrival of referrals to specialist’s offices prior to patient scheduled appointment as well as handling patient check outs. This is a full time opportunity.

Examples of Duties (List does not include all duties assigned)

• Receives and returns phone calls to patients, other physicians’ offices, insurance companies and other offices as appropriate.


• Completes all referral forms correctly and timely and faxes / mails forms to other physicians’ offices, insurance companies and other appropriate recipients.


• Schedules patients’ appointments as needed.


• Responsible for prior telephonic approvals when needed for out-of-network specialists and for telephonic pre-certification when needed for specialists.


• Contacts other physicians and outpatient facilities to make appointments for other examinations or procedures.


• Utilizes Athena appropriately to include chart viewer which ensures proper documentation in patient’s charts.


• Maintains daily logs of contacts and job completions.


• Advises patients of PCP protocol regarding referral process, insurance companies, patients’ responsibilities, etc. Keeps updated regarding insurance companies’ policies and procedures.


• Assists with other front office functions as requested, such as scanning, answering phones, check-in, etc.


• Performs duties in a professional manner while exhibiting a courteous and cooperative demeanor to patients, co-workers, management, and the public.


• Adheres to established policies and procedures (including OSHA guidelines.)


• Adheres to all appropriate aspects of the corporate compliance plan.


• Actively participates in site-level Quality Improvement Activities. Each employee will contribute to the continual evaluation site performance as well as the implementation and measurement of improvement activities that increase the quality of care provided to patients.


• Performs other duties as assigned by physicians, Site Manager, or corporate Administration.

Education

High School Diploma or GED required.

Experience

Prefer one-year experience in a medical billing setting.