Referral Coordinator

Description

SUMMARY

This Referral Coordinator manages referrals both into and out of the clinic, including prior authorizations, referral and diagnostic tracking, and other communication.   This role also ensures that diagnostic is scheduled and completed.  This role requires superior customer relationship skills and the proven ability to communicate effectively and accurately, both verbally and in writing with all levels. The ideal candidate has the ability to operate under frequently stressful conditions due to constantly changing requirements of healthcare and is able to adapt by embracing and supporting change as necessary to obtain operational and performance efficiencies.

ENTRY REQUIREMENTS

• Associate degree in Health Services Administration or related field; and at least three (3) years’ experience in related field with advancing experience.
• In lieu of an associate degree, candidate must have 5 years of experience in health care.
• Knowledge of MHC’s automated information systems, such as Cerner, PWS, Microsoft products, and Order Checker, preferred.
• Experience with Excel. 

SPECIFIC DUTIES

• Works independently and prioritizes projects and timelines within a flexible schedule.
• Must be able to work with a team in order to accomplish and implement goals within a dynamic practice environment.
• Maintains a working knowledge of applicable Federal, State and local laws and regulations, the Organizational Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
• Assumes accountability for on time delivery of assigned projects.
• Takes responsibility to identify and develop skills necessary to meet requirements of the role and to better identify ways to streamline processes and improve patient satisfaction.
• Communicates effectively with patients, staff and physicians to ensure clear understanding of initiatives and implementation process.
• Engages and collaborates with patients, families, staff, and providers within the office and the greater community, as applicable, to intake referrals and process referrals out of the office in a manner which creates and promotes a professional image, including outstanding telephone courtesy, pleasantness, and the ability to keep their composure and the use of judgment and tact in dealing with others.
• Manages the timely scheduling of testing for patients for high- and low-tech imaging, as well as any requirements that relate to that testing.
• Identifies ways to streamline the referral process to increase the efficiency of the process and to increase the timeliness of referrals both into and out of the office, thereby increasing patient satisfaction and improving patient care.
• Coordinates the recall process.
• Performs abstraction of chart, patient portal sign-up, incoming referral review and schedule.
• Completes all prior authorizations in a timely manner as required by individual insurances. Additionally, identifies how prior authorizations can be managed more effectively in a more efficient manner.
• Supports the Mission, Vision and Values of Munson Healthcare.
• Embraces and supports the Performance Improvement philosophy of Munson Healthcare with a focus on True North.
• Promotes personal and patient safety.
• Uses effective customer service/interpersonal skills at all times.
• Demonstrates adherence to all policies and procedures.
• Maintains the ability to hold in confidence any information that is confidential in matter.
• Performs other duties as assigned.