Referral Coordinator (HIS) (Personal Services)

Base Pay: $21.00 - $31.50 / hour
JOB SUMMARY
Under the supervision of the Health Information Services manager, the Referral Coordinator will work with staff, clinical teams, and patients to ensure the timely process of Inbound or Outbound or In-house referrals for specialty care. This will be accomplished by reviewing specialist guidelines for referrals, contacting appropriate patients, staff and outside agencies as needed, and tracking these results on an individual and group basis with the electronic referral system and assuring return reports and completion of specialty care.
JOB DUTIES AND RESPONSIBILITIES

Receives and processes authorizations in a timely manner. Schedules all requests for referrals and treatment authorizations. Revising referrals when required based on availability and resources.
Obtains authorizations from various insurance carriers via phone, in writing or electronic media.
Schedules appointment for specialty care, special studies or other ancillary services as requested by the primary care physician.
Coordinates care within the guidelines of multiple health plans, contracts or insurance types.
Communicates referral criteria with clinicians
Responds promptly to inquiries as to current status of authorization by assessing the request and evaluating the circumstances to provide the correct information.
Initiates the appropriate documentation of requests from specialties offices for continued/ongoing care.
Follows-up on missing documentation to obtain authorization or scheduling when appropriate. Record status of referrals.
Uses various modules of the computer system to obtain information, schedule appointments, query information and obtain authorizations.
Indexes incoming reports pertaining to referrals for assigned specialties.
Sending out specialty reports for Inbound visits.

KNOWLEDGE, SKILLS, AND ABILITIES

Ability to exercise discretion and independent judgment in a variety of decision making scenarios
Good attention to detail and ability to probe for information to fully understand the needs of the customer
Strong organizational and prioritizing skills
Ability to work within a team and to manage conflict
Excellent written and verbal communication skills
Use of Partnership and other insurance websites for processing authorizations and verifying eligibility.

EDUCATION & EXPERIENCE

Minimum 1 year of healthcare related experience in the area(s) of direct patient care, medical records, patient registration, scheduling, claims and/or information technology within a hospital or clinic, or the equivalent in education and experience
Experience with Microsoft Office programs (Word, Excel, Power Point)

PREFERRED QUALIFICATIONS

Minimum Associates degree in Health Information, Business, or related field.
Experience with NextGen

BENEFITS
SCHC understands the importance of good health for every employee. We offer a comprehensive benefits package to ensure employees and their families receive the optimal in health care coverage, along with options to meet their needs.

Competitive wages
Medical insurance
Dental insurance
Vision insurance
403(b) retirement plan with matching employer contribution
Long-term disability coverage
Life insurance
Accidental death and dismemberment insurance
Supplemental Insurances
Flexible spending account
Paid vacation
Paid sick
Paid holidays
Paid CME time and CME allowance
Employee assistance program
Jury duty pay
Bereavement pay
Prescription discount program
529 college savings plan
Educational reimbursement program
Gym membership discounts
Free subscription based app for meditation and sleep
Free telemedicine service for benefit eligible employees