Referral Coordinator - Stockton, United States - Community Medical Centers Inc

Community Medical Centers Inc

Verified Company

Stockton, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

The Referral Coordinator is responsible for the referral of patients to outside agencies, and the appropriate follow up of those referrals per established policies and procedures.

The Referral Coordinator reports to the Patient Center department manager or designee.

SPECIFIC DUTIES:

Coordinates the referral of patients and appropriate followup of referrals per established policies and procedures.
Completion of followup on all referrals including

Insurance authorizations
Transmission of a "summary of care" record and other medical information to specialist
Appointment scheduling or rescheduling
Patient notification of appointments and requirements
Receipt of consult notes and attaching them to the medical record
Referral tracking activities to include all of the above elements
Answers the telephone and provides information with respect and courtesy while also being effectively and efficiently. Communication methods may require interpretation and translation.
Ongoing knowledge, documentation and update of appropriate referral resources, required forms and key contact persons.
Continued resource for outlying sites regarding referral program and resource contacts
May be involved in other programs as assigned
Performs other tasks as assigned

MINIMUM REQUIREMENTS:

High School Diploma or GED AND One (1) year of experience as a referral coordinator or similar type duties working with the referral of patients for treatment and diagnostic studies, OR One (1) year of full time experience in a medical office setting. Experience working in a Federally Qualified Health Center (FQHC) is highly preferred
Valid California driver's license, proof of insurance, and personal transportation

PERFORMANCE REQUIREMENTS:

Knowledge of business office procedures
Knowledge of ICD9 and CPT codes
Knowledge of all CMC program referral requirements
Knowledge of Managed Medi-Cal and EDS Medi-Cal Tar Requirements
Knowledge of all insurance preauthorization requirements and documentation
Knowledge of grammar, spelling, and punctuation to type patient information
Skill in operating computer, including population management/tracking software and, photocopy and facsimile (FAX) machine
Skill in greeting patients and answering the telephone in a pleasant and helpful manner
Ability to communicate clearly
Ability to establish and maintain effective working relationships with patients, employees, and the public
Listen skillfully and display a willingness and ability to acknowledge the needs, expectations and values of others through the use of reflective listening and empathy conveyance.
Communicate clearly and effectively by using welcoming words, proper tone of voice, appropriate body language, eye contact and smiling with every interaction
Ability to provide excellent customer service that is reflective of a culture that values trust and respect

TYPICAL PHYSICAL DEMANDS:

Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 35 pounds.

Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and other such office equipment as necessary.

Vision must be correctable to 20/40 and hearing must be in the normal range for telephone contacts.

It is necessary to view and type on computer screens for long periods and to work in an environment which can be very stressful.

TYPICAL WORKING CONDITIONS:

Work is performed in a centralized facility that services all of CMC. Site specific work may be accomplished in reception, medical records, and cashier areas. Involves frequent indirect contact with patients, external provider staff, and insurers via phone, mail and web portals. Work is fast paced and may be stressful at times. Performance is monitored by the supervisor and workload is frequently adjusted to organizational need. Contact involves dealing with sick people.