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Referral Coordinator Bilingual
Location:
Champaign, IL
Description:
This position is responsible for tracking and executing referrals to outside providers and obtaining authorizations for services provided. POSITION STATUS This position is full-time and non-exempt. The Referral Coordinator reports to the Medical Services Director. QUALIFICATIONS High School DiplomaMinimum one year experience in the medical field with knowledge of medical terminology and abbreviations and understanding of patient flow processes highly preferred. Ability to read, write and communicate clearly in English and Spanish. COMPETENCIES · Ability to appropriately communicate/deal with irritated or frustrated patients; to work under stressful conditions.· Knowledge of and ability to apply established professional customer service concepts, principles and practices.· Ability to prioritize and execute a variety of tasks simultaneously.· Ability to work with frequent interruptions.· Proficient computer skills.· Keen organizational skills. ESSENTIAL DUTIES AND RESPONSIBILITIES Schedules appointments and communicates information to the patienta. Checks Electronic Medical records (EMR) for referral orderb. Determines where to refer the patient if the Provider has not indicated a specific Providerc. Confirms with the patient their preference for time, date, and locationd. Checks NextGen and confirms patient's demographic information and insurancee. Contacts Specialist and makes the appointmentf. Communicates information including directions to the site, and any information required for appointment to patientg. Faxes or electronically sends all pertinent chart information to the Specialisth. Researches for Specialist information as needed2. Follows preauthorization processa. Determines if pre-authorization is required.b. Completes appropriate request information providing any additional information requiredc. Provides an explanation of the process and expected notification time to the patient3. Approved authorizationa. Notifies patient of appointment time, date, and additional information by phone and mailb. Contacts the specialist to schedule an appointment after obtaining preauthorizationc. Faxes or electronically sends all chart information required to the Specialist as appropriate4. Denied pre authorizationsa. Notifies the Providerb. Reviews the denial and provides any supporting documentation that may be required for approvalc. Notifies the patient and refers them back to their Provider for further instruction5. Checks insurance status on all pending referrals monthly for the following month using appropriate websitesa. Notifies patient if insurance status has changedb. Contacts Specialist to determine what is required of the patient for payment at the visit and advises patientc. Refers patient to enrollment staff as appropriated. Notifies Provider if the appointment is canceled or patient did not show up for the appointment6. Completes the Referral Processa. Contacts the Specialist if appointment chart notes and documentation is not receivedb. Forwards the referral information to HIM for scanning to patient chart and completes referral in EMRc. Follows up with patients who do not keep specialty and imaging appointments7. Communicates quality of care issues to Supervisor and participates in thePlan-Do-Study-Act cycles to improve performance on targeted metrics8. Performs clerical dutiesa. Prints and distributes incoming faxesb. May be asked to collect and distribute the mailc. Answers and directs incoming calls to the care teamd. Checks voice mail frequently9. a. Ensures attendance and hours worked are accurately recordedb. Properly manages earned time off per policyc. Responsible for regular and punctual attendance10. Assists the care team with No show managementJob Type: Full-timeSalary: From $15.50 per hourBenefits: 401(k) 401(k) matching Dental insurance Flexible spending account Health insurance Life insurance Paid time off Vision insurance Schedule: 8 hour shift Day shift Monday to Friday Education: High school or equivalent (Preferred) Language: both English and Spanish (Preferred) Work Location: One location
Company:
Promise Healthcare
Posted:
December 26 2023 on ApplicantPro
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More About this Listing: Referral Coordinator Bilingual
Referral Coordinator Bilingual is a Other Jobs Referral Coordinator Bilingual Job at Promise Healthcare located in Champaign IL. Find other listings like Referral Coordinator Bilingual by searching Oodle for Other Jobs Referral Coordinator Bilingual Jobs.
Referral Coordinator Bilingual is a Other Jobs Referral Coordinator Bilingual Job at Promise Healthcare located in Champaign IL. Find other listings like Referral Coordinator Bilingual by searching Oodle for Other Jobs Referral Coordinator Bilingual Jobs.