Referrals Coordinator

SUMMARY OF POSITION The Referrals Coordinator facilitates the processing of patient referral orders originating from Vibrant Health providers to outside healthcare providers and/or facilities. This includes but is not limited to: insurance verification, data entry, obtaining necessary pre-authorizations and communicating with other medical facilities as needed. ESSENTIAL JOB DUTIES Closing the loop of care; from receipt of referral order upon origination to receipt of consult note, report, result, etc. Coordinating all specialist referrals, appointments and pre-authorizations related to productivity thresholds and benchmarks (turn-around time). Tracking referrals in accordance with our policy and procedures with status documented to completion. Mandating contact with patient if referrals are not completed within one (1) month to determine reason for lack of follow up. Documenting and communicating to initiating provider the reason for referrals not completed by patient. Verifying eligibility, dates of coverage and benefits for services to which patients are being referred. Gathering, sending and exchanging appropriate healthcare information to provider(s) receiving referral(s) in accordance with information security and privacy protocols, regulations and legal statutes. Effectively and professionally communicating status of any authorization denial to patient and the care team. Responding to inquiries related to referrals (internal and external sources). Notifying patients of any processing issues regarding their referral. Working in collaboration with care teams. Developing and maintaining contact with specialty offices and diagnostic facilities. Establishing and maintaining effective, professional working relationships with all internal and external customers including other healthcare offices and facilities. Maintaining skills and training required to provide coverage of reception duties when needed. Carrying out Vibrant Health’s mission: We provide access for all to integrated and high-quality care that fosters health beyond our walls. Accepting and using supervision, direction and consultation to maximize available resources in the completion of work duties. All job responsibilities will be carried out under the direction of the organization’s policies and procedures. Additional responsibilities may be assigned as needed to maintain and improve effective functioning of the department and to advance the mission of the organization. REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES High School diploma or equivalent. Two years of relevant work experience, preferably in a medical setting. Proficiency in use of personal computers and Microsoft Office Suite (Word & Excel). Two years of experience working with electronic medical records. Individual must: Develop rapport with patients and their families, community and other healthcare professionals. Exhibit a professional and respectful demeanor. Work successfully within a team environment and collaborating with other professional staff. Demonstrate excellent customer service, helpfulness, and a positive attitude. Possess superior organizational skills with attention to detail and the ability to multi-task and meet deadlines. Possess basic knowledge of health insurance. Demonstrate the ability to recognize, understand, and appreciate the value of cultural diversity and communicate medical information in plain language. Demonstrate social and cultural sensitivity appropriate to ethnically and economically diverse patients and staff. Hold current driver’s license and reliable transportation. Travel to all parts of the facility and throughout the community. PREFERRED KNOWLEDGE, SKILLS, AND ABILITIES Prior experience working in a health care environment. Bilingual fluency in written and oral English/Spanish. SUPERVISORY RESPONSIBILITY None Americans with Disability Specifications Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands and fingers to handle or feel objects, tools or controls; reach with hands and arms; climb stairs; talk and hear. The employee must frequently lift and/or move materials that may weigh up to 40 pounds. Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must have manual dexterity and experience to perform handwritten paper work, recordkeeping, and filing. Prolonged sitting, standing, or walking may be required. Frequent bending/stooping, squatting, reaching above the shoulders, twisting and turning, kneeling, and pushing/pulling may be required. Employment is contingent upon successful clearance from Criminal, Kansas and Missouri Child/Elder Abuse and Neglect, Sex Offender background investigations, TB testing, pre-employment drug testing, and verification of Hepatitis-B immunization. Occasional evening and weekend availability is required. Trauma Informed Care At Vibrant Health, we understand that many, if not most, people have experienced trauma in their lives. We have made a commitment to trauma informed care and support and educate team members continued development of understanding of how trauma affects individuals and coping strategies. We expect employees to incorporate their understanding about trauma into interactions with our patients and families, clinic visitors, and with each other. Equal Employment Opportunity Vibrant Health is an Equal Employment Opportunity (EEO) employer and complies with all applicable federal, state, and local employment laws. Employment decisions are based on qualifications, merit, performance, and business needs. We are committed to maintaining a workplace where all employees and applicants are treated with fairness, dignity, and respect. We provide equal employment opportunities to all qualified applicants and employees without regard to any status protected by applicable law. Vibrant Health also complies with applicable affirmative action and veteran employment requirements as required by law. Qualified veterans and individuals with disabilities are encouraged to apply. #J-18808-Ljbffr