Job Description

Job Title 
Referral Coordinator - Full Time
Requisition ID
27082387

Begin Date 
6/12/18

Duration 

Location 
Snoqualmie, WA 98065

Other Location 
Description

OBJECTIVE SUMMARY: Referral Coordinator is responsible for obtaining all prior-authorizations for outgoing specialist visits, procedures, and testing. The referral coordinator will be responsible to ensure all incoming referrals for office visits, procedures and testing have been authorized. Additionally, the referral coordinator’s responsibilities include appointment coordination, patient communication, scheduling appointments, registering patients. The referral coordinator will work together with other departments and/or organizations to assure all necessary patient information is provided and/or obtained and in electronic format whenever possible. The referral coordinator will be responsible to ensure all patient referrals are monitored for loop closure; all patients follow through with appointment attendance and consultation notes have been received or sent.

ESSENTIAL FUNCTIONS:

  • Processes all diagnostic/specialty/miscellaneous outbound referral requests from providers
  • Obtains authorization for outbound referrals and schedules appointments as appropriate
  • Monitors all incoming referrals for authorization
  • Works with outside referring provider offices
  • Records all appropriate referral information in patients chart
  • Provides all necessary patient information (medical records, notes, etc.) to the appropriate source remembering the importance of confidentiality and HIPAA.
  • Obtains all necessary records from outside provider offices
  • Assists with chart abstraction from paper to electronic when applicable
  • Scans and files correspondence into the electronic medical record for provider to review and sign off
  • Handles incoming calls regarding referrals/authorizations and takes appropriate action based on those calls
  • Appropriately closes the loop on all outbound and incoming referrals; ensures patient obtained care, records were sent or received and documents actions as directed
  • Assists patient in obtaining care when a referral has not been completed
  • Assists with assigned projects
  • Demonstrates an understanding of practice management system’s patient processing functions through an ability to enter data with minimal direction or assistance when assisting reception
  • Performs other duties as assigned

REQUIRED EDUCATION: High School Diploma or GED

PREFERRED EDUCATION: Associates Degree

REQUIRED EXPERIENCE: One year medical record experience; exposure to insurance verification and referral authorization fundamentals

PREFERRED EXPERIENCE: At least one year as a referral coordinator in a medical practice

SKILLS:

  • General knowledge of medical insurance processes
  • Knowledge of medical terminology, CPT & ICD codes
  • Ability to communicate effectively, both written and orally
  • Excellent customer service skills
  • Ability to cross train in other areas of practice in order to achieve smooth flow of operations
  • Good organizational skills with the ability to adapt to medical situations
  • Ability to handle patient and organizational information in a confidential manner
  • Ability to work in an environment of continuous change
  • Ability to manage priorities and work under deadlines
  • Speaks and understand the English language

WORK ENVIRONMENT:

  • Good working conditions. Clean, well-lighted, temperature controlled area.
  • No chemical exposures other than usual healthcare environment cleaning products

PHYSICAL DEMANDS:

  • Sitting, standing, and walking over course of work day
  • No lifting over 5 pounds
  • Extended times of computer work

OTHER DUTIES – Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Required Skills

* High school diploma or GED.
* Exposure to insurance verification and authorization fundamentals.
* One year medical record experience.

Openings
1

Application Instructions

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