Referral Coordinator en None

·         Schedules complex appointments, incoming/outgoing referrals, surgeries, tests, including medical record review of incoming referrals. Builds provider schedule template. Handles multiple calls (Incoming/Outgoing) and phone queue technology. Navigate external patient referral portals. Responsible for complex patient problem solving. Navigates specialty testing requirements (Imaging / Testing / Labs).

·         Completes referral triage and chart review as necessary.

·         Verifies current patient demographic, insurance and financial data; enters and/or updates all pertinent information into the registration and billing systems in a timely manner.

·         Performs scanning of incoming referrals.

·         Connects with referring offices to ensure smooth transition of information and increase referrals.  Actively promotes Haven Spine + Pain to other practices to develop referral network.

·         Sends (Mail / Email / Patient Portal) Patient Documentation (New Patient Letters).

·         Information Systems: Maintains knowledge and effectively utilizes multiple computer information systems (e.g. registration, scheduling, revenue cycle, patient care, patient tracking and Web based on-line eligibility systems) to determine status of pending referrals, schedule appointments, answer questions and resolve problems for patients, providers and third party payers.

·         Obtains insurance authorizations and/or verifies that prior authorization has been obtained or proper insurance participation exists

·         Effectively tracks and/or documents all service interactions with customers within appropriate systems according to guidelines

·         Works with director, physician, and other staff to create for the patient/family an experience that exemplifies caring, understanding, efficiency and overall quality of service.

·         Assists with the planning and implementation of practice promotion activities such as wellness fair, public or professional education offering and other activities that promote the practice.

·         Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

·         Works on projects under the direction of leadership, including data collection, scheduling of progress meetings, assembling documents and revising polices.

 Competencies:

• Ability to work independently and prioritize responsibilities, with minimal supervision
• Excellent communication and organization skills
• High degree of ingenuity, initiative and judgment
• Proficient in both verbal and written communication
• Ability to Multi-task
• Attention to detail to ensure accuracy of data
• Ability to maintain neutrality and confidentiality

Education Requirements:  Required High School Diploma or equivalent; Required Associate's Degree; 2 years of relevant experience Required

Physical Demands

• Work requires hand dexterity for office machine operation including but not limited to computer, telephone, copy machine, facsimile and printers
• Stooping and bending for files or supplies and sitting for extended periods of time are common

Limitations and Disclaimers

This job description is meant to describe the general nature and level of work being performed; it is not intended to be an exhaustive list of all responsibilities, essential duties and skills required for the position.  The listed requirements are representative of minimum levels of knowledge, skills and/or abilities.  To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently. 

This job description is not intended to limit or in any way modify the rights of any supervisor to assign,

direct, and control the work of employees under his or her supervision.  This job description may be

modified by APC at any time without prior notice based on its business needs.  Continued employment

remains on an at-will basis.