Referral Coordinator - Providence, United States - Brown Dermatology

Description

Job Description

SUMMARY:

Coordination of Routine Referrals would be managed centrally to develop a dedicated, trained staff to manage referrals. This would better prepare patients for visit with specialist. Processing referrals would occur within 48 hours and health care cost reductions by directing patients in "In-Network" Providers. The position would help establish and maintain a preferred provider list, standardize patient centric workflow. Develops payer relationships to facilitate prior authorizations, standardize referral content and attachments. Position will help to reduce duplicate or unnecessary tests, prevent delayed diagnosis or treatment, minimize lost referrals and the access backlog.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Manage Referral beans in eCW for assigned sites.
• Ensure Referral Request form is completed
• Assist Medical Assistants with acquiring prior authorization for referrals as needed
• Ensure Referral is received and reviewed

1. Accepted with confirmation of appointment
2. Declined or redirected (not needed, wrong specialty, lack of availability)
3. Patient defers making appointment, declines or cannot be reached (if Specialty is making the appointment)

• Schedule referral appointment for patient if not done directly
• Communicate with patient regarding referral appointment provider, time, location, what to expect and what to bring to appointment.
• Track referral response
• Document secondary referrals if indicated
• Attach/Scan Consult Note(s) to medical record
• Close referral when completed
• Assist Call Center and/or Medical Secretary staff as needed.
• Other duties as assigned by Call Center Manager or senior administrative leadership.

EXPERIENCE:

• Minimum 3-5 years experience in a medical office setting
• E-clinical experience preferred
• 1-3 years experience with referrals

EOE/F/M/Vet/Disabled

Brown Dermatology requires employees to be vaccinated against COVID as a condition of employment, subject to accommodation for medical exemptions.