Referral Coordinator I (Hybrid)

Full Time
Austin, TX 78759
Posted
Job description
Overview:
In collaboration with patients, families (as defined by the patient) and staff across all disciplines and departments, is responsible for coordinating all aspects of the patient referral process in an integrated health system and for adhering to established timelines and departmental procedures. Responsibilities include but are not limited to referral management, responding to non-clinical patient inquiries, coordinating resolution of clinical questions and providing insight to leadership regarding patient experience, challenges and opportunities for improving access to care. This person will collaborate with Operations leadership and other clinical leadership to coordinate healthcare services for to improve the clinical outcomes of the safety net population in Travis County.

This position is considered Hybrid, which means that individuals in this position may work both at an approved Offsite location and Onsite at a primary location or multiple locations based on Business Needs.
Responsibilities:
Essential Duties:
  • Accurately and promptly schedules, reschedules, and cancels patient appointments for the convenience of the patient and/or their representative.
  • Verifies insurance eligibility and benefits to ensure all notifications and authorizations are completed within the required timeframes.
  • Verifies and ensures all paperwork and clinical documentation is verified and attached to referrals.
  • Assists in coordinating and directing patients in both English and Spanish to appropriate locations with accurate documentation needed for successful appointment.
  • Assists with resolution to pre-authorization requests, registration or other referral- related issues prior to a patient’s scheduled appointment.
  • Completes patient reminders prior to scheduled appointments and assist with any transportation barriers patient may have.
  • Will work closely with medical management staff to triage specialty care waitlists and determine appropriateness for specialty referral.
  • Assists in responding to patient and third party inquiries received by phone or mail.
  • Ensure documentation is completed per standard operating procedure.
  • Performs other duties as assigned.

Knowledge/Skills/Abilities:
Knowledge of:
  • Administrative and clerical procedures and systems such as word processing and data base systems, filing and records management systems, and other office procedures and terminology.
  • Knowledge of referral management, appointment scheduling and insurance verification procedures.
Skill In:
  • Ensuring a positive patient experience through professional interaction with patients and proper phone greeting etiquette.
  • Working with Microsoft suite
  • Fluently communicating verbally in English and Spanish.
  • Knowing how to find information and identify essential information required to perform job functions.
  • Critical thinking skills, decisive judgement and the ability to work with minimal supervision.
  • Strong attention to detail and accuracy.
Ability to:
  • Develop and maintain positive and professional working relationships with colleagues.
  • Ability to be flexible and positive in a continuously changing environment.
  • Succeed in using various tools, technology, and systems, including but not limited to computers, spreadsheets, word processing, patient records systems, EMR systems and other healthcare delivery platforms.
  • Maintain strict confidentiality of personal health information (PHI).
  • Maintain attention to detail related to successful performance of job duties.
  • Work effectively with individuals from diverse backgrounds.
Qualifications:
MINIMUM EDUCATION: High School diploma or equivalent.

PREFERRED EDUCATION: Successful completion of a medical assistant certification program.

MINIMUM EXPERIENCE: Minimum of two (2) years related experience as a medical assistant and bilingual in English and Spanish.

PREFERRED EXPERIENCE: None

REQUIRED CERTIFICATIONS/LICENSURE: None

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