Referral Tracking Coordinator

Category:
Admin Support

City:
Selmer
State:
Tennessee
Shift:
8 - Day (United States of America)

Job Description Summary:
Responsible for assisting WTMG clinics as assigned with tracking all internal and external referrals, outreaching to other service providers and patients to get proper release of information and referral documents, and performs clerical/ environmental duties and organizational compliance task. Responsible for appointment scheduling and chart management. Provides medical care and information to patients so that they may fully utilize and benefit from clinic services. Conveys a positive image of clinic or quality department. Employee is subject to call back and overtime as required by the hospital.

ESSENTIAL JOB FUNCTIONS:

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. This tracking may use an IT database.
• Ensure complete and accurate registration, including patient demographic and current insurance information.
• Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
• Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
• Review details and expectations about the referral with patients.
• Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
• Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
• Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
• Ensure that referrals are addressed in a timely manner.
• Remind patients of scheduled appointments via mail or phone.
• Ensure that patient's primary care chart is up to date with information related to their health on specialist consults, hospitalizations, ER visits, community organizations, and appointments via mail, MYCHART, or phone
• Performs related responsibilities as required or directed.

JOB SPECIFICATIONS:

EDUCATION:

• Must have High School diploma, some college preferred or attended and/ or graduated from training to become a Medical Office Assistant.

LICENSURE, REGISTRATION, CERTIFICATION:

• Certified MOA preferred but not required.

EXPERIENCE:

• Minimum of one year work experience in health care field.

KNOWLEDGE, SKILLS AND ABILITIES:

• Knowledge of health care field and/ or medical specialty.
• Knowledge of specific assisting task related to health care or the particular medical specialty.
• Knowledge of information that must be conveyed to patients/ families.
• Ability to use Microsoft Office, Word, Excel, Outlook, preferred

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.