Referral Coordinator

Job Description

Job Description

Referral Coordinator- Cayuga Park Cancer Center- Full Time- Days

When two established local health systems unite as one collaborative network, healthcare becomes so much more. Centralus Health, an affiliation of Arnot Health and Cayuga Health, is focused on our region's changing needs and your wellbeing. More than a group of experienced caregivers, Centralus Health is a partnership of advocates who strive to eliminate barriers to better health, innovating and evolving services in our communities for enhanced holistic care close to home. Beyond clinical outcomes, it's strengthening community connections and setting a higher standard for quality that's exceptionally personal.

Centralus Health is central to wellness-for all of us.

The Referral Coordinator reports to the practice manager of the Cancer Center. With general direction and latitude for initiative and judgment performs routine and non-routine administrative duties to monitor and process department's referrals. Is accountable for completing all referrals in a manner compliant with Centralus Heath standards. Most referrals processed are those received by the department but also processes those prescribed by the department's providers.

Roles and Responsibilities:

• Receives minimal direction from physician, mid-level providers, department Director. Is responsible for independently planning, executing and evaluating own work.

• Directs other secretarial and clerical assistants. May train and coordinate activities of peers or support staff.

• Specific blend of referral duties may vary and are related to the department structure and business needs.

• In processing referrals for receiving providers as well as prescribing providers, prioritizes referrals by following and applying standard policies, procedures, and practices. Employs multiple tracking mechanisms to ensure that referral approvals and appointments are obtained in a timely way so that patients are always cleared for their appointment prior to their arrival. Enters progress notes and other pertinent information into the electronic medical record.
  • Receiving Provider :
  • Reviews referrals to determine of insurance authorization has been obtained. If no authorization, returns referral to referring provider's office via electronic medical record system.
    • Identifies, by applying knowledge of provider sub-specialties, the appropriate provider with whom to make an appointment.
    • Schedules required ancillary services needed to prepare for appointment. Follow up with patient to ensure completeness.
    • Explains whether provider participates in patient's insurance and if not, describes options for payment.
    • Conveys instructions to patients for appointment by applying the appropriate protocol. Enters scheduled appointment information into the medical record for referring provider office to view.
  • Referring/Prescribing Provider:
    • Assembles, from multiple tabs within the electronic medical record, the necessary details to identify what referral is needed.
    • Determines if preliminary testing (i.e. Imaging) is needed based on office practices and procedures and is responsible for explaining to patient, assisting with scheduling and for completeness prior to office visit.
    • Anticipates, gathers, and sends information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing.
• Completes the referral request in the electronic medical record system once the patient has been seen by entering a new status as closed.
• Other duties as assigned.
• Employee understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer's needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with the Medical Center.
• It is understood that this lists typical duties for the classification and is not to be considered inclusive of all duties, which may be assigned.
• Moderate level of problem-solving ability. Gathers and interprets data to solve routine problems that require verification. Some independent judgement required.
• Work is accomplished with limited direction. Determines and develops approach to solutions. Work is evaluated upon completion to ensure objectives have been met.
• Non-supervisory leader
• Executes goals and objectives established by supervisor or manager.
• Failure to obtain results or erroneous judgements or recommendations would normally have serious results and may require substantial expenditure of resources to correct and/or achieve goals.

Required Skills and Experience:

• Three (3) years of relevant experience or an equivalent combination of education and experience.
• CPR, Basic Life Support (BLS) required within 90 days of hire date.

Preferred Skills and Experience:

• Associate degree in Medical, Secretarial or related field
• Medical Terminology, experiences with surgical appointment scheduling software (such as eCW, Aria, Epic), and electronic medical records

Physical Requirements:

• This position requires occasional standing, walking, and twisting/turning.
• Reaching and stooping rare.
• Frequent typing/keyboarding, critical thinking/organization, talking on phone, sitting.
• Routine office job.
• Requires light physical effort.

EXPOSURE CATEGORY:

Category III. Tasks that involve no exposure to blood, body fluids, or tissues.

Location and Travel Requirements:

• Location: Onsite at Cayuga Park- 401 Cayuga Park Lane, Ithaca, NY 14850
• Shift: Days, specific schedule to be discussed at interview
• Travel: 10% travel to other local locations as needed

Pay Range Disclosure:

• Standard rate of $24.00 - $27.00 per hour

Centralus Health and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all.

We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics.

If you require reasonable accommodation to complete a job application, pre-employment testing, a job interview or to otherwise participate in the hiring process, please contact the Centralus Health Talent Acquisition team at View email address on ziprecruiter.com.

I certify that the information contained in this application is correct and complete to the best of my knowledge. I understand that any falsification or omission of information may disqualify me from further consideration for employment or, if hired, may result in termination. In consideration for my employment, I agree to abide by the rules and regulations of the company, which rules may be changed, withdrawn, added, or interpreted at any time, at the company's sole option and without prior notice to me.

I understand that any hiring decision is contingent upon my successful completion of all of the Company's lawful pre-employment/post-offer checks, which may include a background check, drug screen, employment references, and licensing review. If I am made a conditional offer of employment, I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment/post-offer checks. Such checks will not be conducted until allowed under applicable federal, state, and local law. I understand if I have a criminal background, it will not automatically disqualify me from employment unless otherwise required by law. I agree to execute any consent forms necessary for the Company to conduct its lawful pre-employment checks.

I also understand that the Company is a drug and alcohol-free workplace and has a drug and alcohol testing program consistent with applicable federal, state, and local law. I understand that after a conditional offer of employment, I must submit to and pass a pre-employment drug test as a condition of employment.