- Identifying PCP Referrals in EMA.
- Creating Patient Account in ECW (EClinicalWorks), if necessary. Ensure PCP is in ECW & EMA systems.
- Determine rendering provider based on provider protocol
- Contact referred patients to schedule with the indicated provider up to 3 times
- Notify referring Provider of the appointment to close the referral loop
- Outside GSD Referrals-Obtain authorization, if applicable and send referral ensuring receipt and patient appointment.
- Follow up on outside referrals after patient appointment to obtain chart notes, closing the referral loop.
- Ensure providers schedules are full
- Obtain authorization for all HMO patients, both future and retro requests.
- Varied clerical duties including but not limited to: photocopying, faxing, filing, typing letters, envelopes and forms, and maintaining office equipment in order to perform duties.
- Other job duties as assigned by supervisor
- Demonstrates Knowledge of Job Duties
- Knowledgeable in the diagnosis and treatment of benign, pre-cancerous lesions, and skin cancers.
- Knowledgeable in insurance carriers (i.e. Medicare, commercial, HMO)
- Judgment: demonstrates sound forethought and logic in all actions Communications: written communications and email are clear and well organized
- Communications: oral communications are clear and appropriate for business. Checks email throughout the day
- Team &
- Safety: adheres to all workplace safety standards and policies Adheres to all HIPAA standards
- Maintains strictest confidentiality
- Stewardship of company resources: appropriate use of PC, email, rest areas, maintains a clean and organized work environment. Refrains from using company services and equipment for personal matters.
- Attendance: reports for work on-time and as scheduled, available for work as needed Ability to organize and prioritize tasks/responsibilities effectively
- All Golden State Dermatology employees may be temporarily scheduled in any GSD facility based upon the needs of the organization. Employee demonstrates understanding and willingness to go where needed.
- Promotes Golden State Dermatology in an effort to enhance patient comfort and further organization reputation of excellence in the patient, medical, and associated business communities. Conveys a positive image of the organization.
- Use of a PC, keyboard, mouse, printer, photocopy machine, and other office equipment
- Multi-line telephone system
- Ability to learn systems; competent in EMA and EClinicalWorks (or current system) upon training.
- Able to speak clearly
- Skilled in tact and diplomacy in interpersonal interactions
- Skilled in patient education needs by effectively sharing information with patients and families.
- Ability to communicate clearly in person and on the phone and establish/maintain cooperative relationships with patients, families, staff and other customers.
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referral coordinator - Modesto, CA , USA, United States - Golden State Dermatology
Description
Position Summary:
Responsible for processing referrals, scheduling services, and updating patient records with the most up to date information needed (insurance, billing).
Job DutiesWorking Relationships:
Effective in working with others. Actively assists other departments as needed, particularly back office.
Requirements Knowledge, expertise:
Certifications, training, licensure:
High School Graduate or Equivalent.
Safety Requirements:
Adheres to all GSD safety standards, including lifting technique, use of footstools, safe operation of moveable medical records shelving.
Physical Requirements:
Sitting up to 8 hours per day. Frequent sitting and standing from a sitting position. Use of keyboard and/or computer mouse up to 8-hours per day. Ability to use a stepstool, reach overhead. Ability to pull charts from and return charts to medical record storage shelves.
Decision Making Authority:
Collecting cash and making change. Processing credit card payments. Able to process cosmetic product sales. Authorized to sign for and accept packages and registered/certified mail.
GSD strongly encourages employees to receive the COVID-19 primary series vaccination.
