Essential Duties:

• Arranges referrals to specialty care physicians for MHM clinic patients who have been approved for the Methodist Healthcare System (MHS) Financial Assistance Program
• Coordinates MHS Financial Assistance Program application process for both MHM patients and non-MHM patients
• Works closely with HCA Shared Services Centers concerning charity care applications and explains program benefits and limitations.
• Coordinate’s charity admissions to Methodist Healthcare System facilities
• Develops, recruits and maintains relationships with physicians, practice administrators and staff
• Develops relationships and communicates with specialty physician office staff
• Identifies patient need and arranges for medical specialists to whom referrals can be made
• Negotiates fee for services when charity services are not available.
• Ability to accept and process pro bono services when available.
• Schedules and monitors patient appointments, provider services, physician/hospital visits, diagnostic and/or invasive procedures, follow-up care and therapy for charity client population
• Communicates with MHM clinics regarding specialty providers’ acceptance of patient, appointments and need for follow up care
• Consults with physicians, mid-level healthcare practitioners, social services and other members of a multi-disciplinary team, as appropriate regarding patient referrals
• Secures and updates supplementary information such as applications, employment, and verification of documentation for non-MHM clinic patients
• Informs non-MHM patients of approval for MHS Financial Assistance Program
• Coordinates with healthcare providers, community service agencies, social workers and other agencies to provide care
• Provides referrals to internal departments and external agencies as needed
• Assists in the resolution of complaints, requests and inquiries from clients
• Organizes and maintains records, rosters, and lists of participating physician specialists
• Completes and maintains referral records
• Maintains patient confidentiality and complies with all federal and state health information privacy laws.
• Performs other duties as assigned

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education/Experience:

High school or general education diploma (GED) required; Associate degree in Healthcare-related field preferred. One to three years in healthcare industry preferred.

Language Ability:

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to read, analyze medical documents, knowledge of medical terminology. Fluent in English and Spanish required.

Reasoning Ability:

Ability to define problems, collect data, establish facts, and draw valid conclusions.

Certificates and Licenses:

None.

Computer Skills:

Demonstrate working knowledge of the Internet, Outlook, PowerPoint, Word, Excel, patient management, electronic health records software.

Other:

Ability to drive and have access to a car; maintain valid driver’s license and auto liability insurance.

Work Environment and Physical Demands:

The work environment characteristics described here are representative of those a team member encounters while performing 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 team member is exposed to an office environment and may have direct contact with patients. Position necessitates bending, stooping, twisting, turning, walking, climbing step stools, sitting and standing for periods of time. Must be able to lift and maneuver 25 pounds