Central Referral Office Coordinator (Internal Position) Facility: CHS Services Inc Location: Melville, NY Department: Patient Navigation Hub Category: Administrative / Business Support Schedule: Full Time Shift: Day shift ReqNum: 6020006 Internal Position
Referral Coordinator duties:
Working with the (EMR) position schedules testing, procedures and referrals for (Organization Name) practices. Obtains pre-certification prior authorizations for procedures, outpatient tests, and referrals. Position works closely with the practices and maintains strict confidentiality.
Informs patients about procedure prep and clearance. Ensures informed consents are signed with 30 days of procedure. Confirms procedure schedule with physician(s), surgical department and other departments as necessary. Performs post-procedure call backs per physician instructions.
Ensures informed consents are signed prior to procedure and confirms procedure schedule with physician, surgery department, and other departments as needed. Confirms that paperwork is completed to ensure no delays in care or payment for services.
Verifies insurance coverage and obtains prior authorization as needed. Communicates financial responsibility to the patient for referral, procedures, or consultation. Attempts to collect monies due to the Medical Group before procedures are scheduled.
Provides customer service functions to include addressing patient, hospital and provider inquiries and complaints from all sources in a timely manner. Initiates necessary corrections to patient accounts and attempts to repair damage done to relationship with patient. This will require interaction with co-workers, physician offices, hospital, insurance carriers, and administration. Success indicated by problems being resolved by team member requiring little director Intervention. Participates in patient satisfaction initiatives. Demonstrates excellent customer service skills Communicates effectively with patients and management regarding service recovery opportunities works together with other team members to achieve Office and System customer service goals.
Works well with others and functions as a team player. Offers ideas and solutions for issues that affect the team and work area. Stocking and ordering of supplies as needed. Maintains patient care areas. Participates in the training and skills development of new front office employees. Assists in other areas of the office as necessary
Maintains a current knowledge of clinical operations Including medical knowledge. This will be required to understand referral ls requested by providers. Develops and maintains a working knowledge of CPT and CDI coding. Participates in continuing education. Participates in the development of new programs.
Ensure that providers are notified using the (EMR) when a procedure, consultation, or result is complete and documentation is available for review by sending
Prepares productivity reports each month, including but not limited to calls, referrals, and amounts collected. Referral reporting is generated monthly and provided to Administration.
Required Knowledge & Skills
High School Diploma or GED
Two years of related experience in a clinical environment. Experience in clinical, referral or coding area
Ability to organize, analyze and prioritize work
Exhibit exceptional communication and negotiating skills to interact with payers, providers and patients
Data entry experience preferred. Business like appearance, detail oriented ability to multi-task, ability to work closely with others and function as a team member
Working knowledge of CPT and CD-10 coding required
Must possess the initiative and drive to take a project from beginning to a successful completion
Basic knowledge of medical terminology and anatomy required
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Administrative / Business Support, Melville, New York, United StatesRemove
Nursing, Melville, New York, United StatesRemove
Good Shepherd Hospice