Referral Coordinator

• MISSION: We deliver outstanding care, inspire health, and connect with heart.
• VALUES: Trust. Respect. Integrity. Compassion.
• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

• Working with administrative staff to develop and implement guidelines for prioritizing appointment types (acute vs non-acute) and scheduling with the most appropriate provider
• Reviewing technical statistical data for reports and records including wait times, phone call volumes, and referral tracking.
• Identifying, analyzing and resolving day to day issues with staff and patients.
• Ensures that patients are treat courteously by staff, maintain confidentiality.
• Acts as liaison between provider offices, physicians, health plans and other departments to ensure high quality customer service is being delivered.
• Maintains a good rapport and cooperative working relationships with all medical offices, hospital services, and community agencies.
• Possess an ability to deal effectively with high stress situations to evaluate current processes for enhancement and make necessary recommendations.

• Receiving telephone calls, taking and relaying messages accurately and routing calls to appropriate office.
• Obtaining accurate information from referring office and/or patient.
• Interpreting the managed care report using knowledge of ICD 10, CPT and online insurance eligibility.

• Responding immediately to patient concerns with timely resolution follow up.
• Triaging incoming referrals and schedule patients with the most appropriate provider.
• Ensuring that patient data is accurately captured including insurance and other billing information.
• Accepts assignments of additional duties when indicated to maintain departments' operations.
• Assisting in monitoring the telephone system, patient call reports/statistics, and the answering service.

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

• Leverage innovation everywhere.
• Cultivate human talent.
• Embrace performance improvement.
• Build greatness through accountability.
• Use information to improve and advance.
• Communicate clearly and continuously.

• The knowledge, skills and abilities as indicated are normally acquired through the successful completion of a high school diploma or equivalent; successful completion of an approved Medical Assistant Program or equivalent work experience of at least 3 years. Previous medical office experience, ICD 10, CPT, online insurance eligibility and specialty referral experience needed. Supervisory and/ or experience in both Sports Medicine and Orthopedic Trauma Surgery preferred.

• Demonstrates well developed communication skills to communicate effectively and clearly to a variety of internal and external contacts to maintain positive working relationships.
• Demonstrates analytical skills necessary to solve patient problems and interpret data.
• Requires a working knowledge of clinical and front office job duties.
• Demonstrate proficiency in computer skills (ie data entry, word processing, and spreadsheets). A basic understanding of database applications is desired.
• Requires solid office/secretarial skills, including the ability to operate standard office equipment as required by the needs of the office.
• Knowledge of insurance payers and verification of eligibility.
• Demonstrates leadership skills necessary to gain the cooperation and support from the staff.
• Requires the organization and analytical skills necessary to analyze situations/problems and provide timely resolution and work effectively with day to day problems.
• Knowledgeable in Allscripts, Cerner, referral database, excel, word, and outlook.

• Work is performed in a medical office setting.
• May require local travel to different site office locations.

• Requires the physical ability and stamina to perform the essential duties of the position.

Beacon Health System