Referral Coordinator

Referral Coordinator 3.1 3.1 out of 5 stars 2616 Sherwood Hall Lane, Hybla Valley, VA 22306 Neighborhood Health 30 reviews

PRIMARY FUNCTIONS

Function as a member of clinical team in a multi-disciplinary Primary Care Medical Home, serving insured, non-insured, homeless, indigent, and other vulnerable clients. Ensure coordination of care between primary care and specialty providers for clients needing specialty care referrals and diagnostics. Demonstrates a sincere dedication and loyalty to the philosophy and mission of Neighborhood Health.

DUTIES/ RESPONSIBILITIES

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Essential Functions:

Duties and responsibilities noted with bullets are considered to be the essential functions of the job) Provide referral assistance to clients needing medical specialties for high risk, chronic disease, acute care, and vulnerable clients across the life span. Work closely with clinical care team to ensure all required documentation is completed prior to initiation of referral. Submit requests/documentation as required by patient's third-party insurance such as prior authorization requests and insurance referral forms for specialty care referrals as needed. Submit precertification requests to third party insurance companies for diagnostic testing as needed. Handle outgoing referrals for clients needing additional assistance due to language barrier, educational level, transportation challenges and issues related to mental health, age, sex, race, or financial status. Work closely with clinical team(s) and family support services to assist in referral process and the application for financial assistance to various referral partners. Track referrals to ensure proper documentation from referral resource is received in a timely basis following appointment. Maintain close relationship with community partners to optimize referral process. Work closely with the Nursing Coordinator on complex and post hospital referrals. Provide additional back office administrative support as needed.

OTHER DUTIES

Prepare and maintain special internal and external reports as requested by Supervisor and/or Department Head. Assist with developing, coordinating and recommending changes for the improvement of workflow in the program or section area. May be assigned to various project lead roles to advance the development of the department and support ad hoc needs. Able to work under minimal supervision. Employee will be asked to perform additional duties and take on other responsibilities. QUALIFICATION/EDUCATION and/or

EXPERIENCE REQUIREMENTS

Certificate from an accredited medical assistant/certified nursing assistant or medical records/clerical program or, a minimum 1-year clinical experience or three years clerical experience in a community/primary care setting in lieu of education. Experience in a primary care setting is highly preferred. Excellent interpersonal communication skills and the ability to work effectively with a diverse work force and client base. Proficient with electronic medical records, Microsoft Windows and Microsoft Office, including Word and Excel. Highly organized with outstanding oral and written communication skills. Must be able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations. Demonstrate superior critical thinking skills, sound judgment, and decision-making and problem-solving skills. Knowledge of local health care environment. Fluency in Spanish and English required.