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Referral Coordinator Lead in Henderson, NC at Maria Parham Health

Date Posted: 1/8/2019

Job Snapshot

Job Description

Maria Parham Health

•         Schedules, problem solve, communicates, and coordinates referral appointments with outside specialists upon receipt of the Referral Order from designated Provider. Reviews, screens, and distributes incoming faxes accordingly.

•         Tracks and enters all referral requests in the Referral Management System (EMR) and Insurance Electronic System on a daily basis.

•         Coordinates with the clinical staff to track the status of all provider reports on patients referred to hospitals, outside clinics and Specialty Providers and follows up for reports/records not received on referred patients.

•         Maintains an accurate records of external referral patient’s appointments that are kept, failed, and current status in the Referral Management System (EMR) for outstanding, provider reports that are (30 days or more old), and follows-up with the appropriate provider.

•         Ensures that all referral forms are sent to health records in a timely manner, after assigned actions are completed.

•         Provides Intensive tracking and follow-up on all patient’s referral orders. Documents efforts to re-schedule patients and provide documentation in EMR/Referral Management Data base, as appropriate.

•         Emails/Faxes authorization referral forms and requested records that are obtained from the EMR, including all required documents will be attached to the referral form and sent to the patient’s Specialist in preparation for the visit.

•         Routinely makes reminder phone calls, reminder to referral patients in advance of appointment with outside providers.

•         Responds to in-house provider and clinical staff questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status.

•         Answers, responds and documents phone calls, request and questions from patients in a timely manner. Calls must be accurately managed or redirect as appropriate.

•         Assemble information concerning patient's clinical background and referral needs.

•         Per referral guidelines, provides appropriate clinical information to specialist.

•         Ensures that referrals are addressed in a timely manner.

•         Verifies insurance information for referral purposes and process insurance information for referral patients.

•         EMR Super User for Practice Partners and will maintain responsibility to train all new front office staff to ensure consistency across the enterprise on revenue cycle guidelines.

•         HIPAA Privacy and Security Regulations handling patient information.

•         Verify eligibility of patient and investigate further when eligibility is in question.

Job Requirements

•         High School diploma, GED, or equivalent is required.

•         Working knowledge of Microsoft Office applications.

•         Practice Management Software Experience.

Excellent communication skills.  Medical terminology knowledge, preferred.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran