Referrals and DME Coordinator

Job Description

Job Description

Arranges referral appointments with external service providers Ensures durable medical equipment and supplies are obtained for participants as per on medical orders.

Referrals

• Schedules referral appointments for participants with external service providers in the PACE network
• Provides participants with necessary paperwork and specialized instructions for referral appointments.
• Uses electronic health record to generate referral letters for appointments for each external service received by a participant, including emergency care and transportation.
• Uses appointment scheduler in electronic health record to track appointments and ensure participants keep appointments
• Telephones participants in advance of upcoming appointments to reduce no-shows.
• Uses electronic record to document relevant telephone calls with participants and providers regarding appointments
• Notifies external service providers in advance of any cancelled appointments.
• Coordinates with family to provide transportation and accompany participants to outside appointments.
• Arranges for personal care aides to escort participants for appointments if family is not available.
• Schedules transportation for participants appointed to see external service providers.
• Communicates with bus drivers to keep track of participants while keeping appointments.
• Uses electronic health record to FAX and electronically submit referral information for external appointments
• Provides a copy of each referral form to the Administrative Specialist for use in authorizing payment for claims submitted by service providers.

DME and Supplies

• Obtains durable medical equipment (DME) and supplies for participants as per medical order or IDT
• approval.
• Orders DME and supplies from appropriate contracted vendors with Mountain Empire PACE
• Maintains a record of DME and supplies obtained and other items as directed
• Maintains a reminder/tracking system for reorders of DME and supplies
• Must become familiar with DME equipment to assist participants on questions/needs.
• Uses electronic health record to generate referral letters for DME
• Uses electronic health record to FAX and electronically submit referral information for DME
• Communicates with vendors about orders and reorders of DME and supplies.
• Communicates with IDT, Quality Manager and Program Director regarding orders, delays issues re: DME/Supplies
• Uses electronic record to document relevant telephone calls with participants and providers re: DME

Reception/Medical Records/Other

• Performs the duties of the Reception and Medical Records Clerk in his/her absence.
• Participates in staff meetings and in-service training sessions.
• Performs other work duties as requested.
• Acts only within the scope of his/her professional authority.