Referral Coordinator

SUMMARY: The Referral Coordinator reports to the Practice Manager. Under the general supervision, coordinates the effective and efficient patient flow in regards to scheduling appointments with specialist and testing per physician request. Obtains proper insurance authorization prior to scheduling appointment and once completed contacts patient with pertinent information and ensures that all required information is forwarded to specialist office following practice protocols. Follows patient’s status within the cycle of provider care to ensure continuity of services utilizing LifeChart referral workques. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: p style=text-align: justifySchedule/coordinate/triage all referrals created by and sent to the practice via Lifechart workques. Sets follow-up alarms per practice protocols and the tracking function to ensure that all outstanding referrals are followed-up on. Obtains all un-resulted consults and testing orders managed by the referral office. Alerts the ordering provider of any patient that does not keep an appointment with a specialist or testing facility.p style=text-align: justifyp style=text-align: justifyScans into the medical record all correspondence received on patients and ensures that they are correctly labeled and forwarded to the proper ordering provider for their review.p style=text-align: justifyp style=text-align: justifyTakes messages from the referral line/fax machine, create a referral in Lifechart and forwards the information to the PCP for approval prior to sending referrals to specialist or testing facility in accordance with practice policy. Contacts patients and instructs them with not only information about the appointment but provides them with any specific instructions prior to their appointment.p style=text-align: justifyp style=text-align: justifyMaintains current knowledge of insurer referral/authorization requirements and havea working understanding of the patient population and demonstrate cultural awareness and sensitivity.p style=text-align: justifyActs as a resource to practice team members regarding referral issues.p style=text-align: justifyp style=text-align: justifyParticipates in practice performance and quality improvement activities. Attends required meetings and trainings as directed.p style=text-align: justifyp style=text-align: justifyPerforms other related duties appropriate to training and experience as assigned by physician practice manager.p style=text-align: justifyp style=text-align: justifyKnowledge of front office operations in addition to clinical knowledge for triaging referrals and determine when the patient need to be seen. MINIMUM QUALIFICATIONS: p style=text-align: justifyBASIC KNOWLEDGE:p style=text-align: justifyp style=text-align: justifyHigh school degree or the equivalent. Billing and medical knowledge.span class=msoInsins cite=mailto:Drescher,%20Nancy datetime=2015-09-23T13:36/insp style=text-align: justifyp style=text-align: justifyEXPERIENCE:p style=text-align: justifyp style=text-align: justifyTwo years of clinical referral experience required. Patient Centered Medical Home Practice (PCMH) referral experience preferred. Data entry skills and computer experience required. Strong customer service focus. Effective verbal and written communication skills. Organized and able to manage competing priorities. Able to take and follow through with delegated tasks and accountability. Demonstrated knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and cultural patterns in each step of the care process.p style=text-align: justifyp style=text-align: justifyINDEPENDENT ACTION:p style=text-align: justifyp style=text-align: justifyPerforms independently within department policies and practices. Refers specific complex problems to physician practice manager where clarification of departmental policies and procedures may be required.

Pay Range:

$17.00-$25.31

EEO Statement:

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location:

Rhode Island Hospital - 593 Eddy Street Providence, Rhode Island 02903

Work Type:

M-F, 7:00AM-7:00PM

Work Shift:

Day

Daily Hours: 

8 hours

Driving Required:

No