Referral Coordinator-Harlem Center-Mount Sinai Morningside-Full Time-Days
4 weeks ago
JOB DESCRIPTION
Job Title:
Referral Coordinator-Harlem Center-Mount Sinai Morningside-Full Time-Days
Job Summary:
Handles referrals for patients in the department and contact outside agencies to set up the specifics of how referrals are processed, tracked and returned.
RESPONSIBILITIES
Essential Duties and Responsibilities
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Meets regularly with the managed care provider relations staff to resolve managed care insurance issues and discuss new trends in managed care
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Educates all new clerical employees about the managed care process
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Maintains an active patient database on the number of visits and expiration dates of all referrals
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Receives a copy from the clinic of every referral with the patient visit
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Reconciles the database with the referral
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Reviews on a daily basis the clinic report to determine the clinic visits that require a referral and checks to see that a referral was obtained by the registrar
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Obtains a copy of the visit of patients who were referred externally and send copy of visit to the provider
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Downloads monthly the patient roster from the managed care sites and gives a copy to the clinic so staff can determine patients who need referrals
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Generates a referral for those managed care patients listed on the roster who present to the clinic without one
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Sends a copy of all Center Care referrals to finance for distribution to Center Care
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Retains a copy of all referrals on file for one year
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Reviews all bills rejected by managed care companies
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Determines the cause of the rejection and provides the company with the information they need to expedite payment to the hospital
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Resolves all referrals issues that occur on day of visit
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Assists managed care patients who have inquires relative to the specifics of their plan, who want to change their PCP etc.
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Acts as the resource for staff on managed care issues and responds and resolves problems that arise
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Stays in constant contact with patients educating them on the logistics of their managed care plan
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Communicates with managed care companies not contracted by the hospital, to obtain authorization to treat their patients who present to the clinic or to determine the patient's PCP and provide that information to the patient
QUALIFICATIONS
Education Requirements
- High School graduate or GED
Non-Bargaining Unit, BFY - Aids Non Nursing - STL, Mount Sinai St. Luke's
ABOUT US
Strength Through Diversity
The Mount Sinai Health System believes that diversity, equity, and inclusion are key drivers for excellence. We share a common devotion to delivering exceptional patient care. When you join us, you become a part of Mount Sinai's unrivaled record of achievement, education, and advancement as we revolutionize medicine together. We invite you to participate actively as a part of the Mount Sinai Health System team by:
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Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential.
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Serving as a role model confronting racist, sexist, or other inappropriate actions by speaking up, challenging exclusionary organizational practices, and standing side-by-side in support of colleagues who experience discrimination.
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Inspiring and fostering an environment of anti-racist behaviors among and between departments and co-workers.
At Mount Sinai, our leaders strive to learn, empower others, and embrace change to further advance equity and improve the well-being of staff, patients, and the organization. We expect our leaders to embrace anti-racism, create a collaborative and respectful environment, and constructively disrupt the status quo to improve the system and enhance care for our patients. We work hard to create an inclusive, welcoming and nurturing work environment where all feel they are valued, belong and are able to advance professionally.
Explore more about this opportunity and how you can help us write a new chapter in our history
"About the Mount Sinai Health System:
Mount Sinai Health System is one of the largest academic medical systems in the New York metro area, with more than 43,000 employees working across eight hospitals, more than 400 outpatient practices, more than 300 labs, a school of nursing, and a leading school of medicine and graduate education. Mount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. Through the integration of its hospitals, labs, and schools, Mount Sinai offers comprehensive health care solutions from birth through geriatrics, leveraging innovative approaches such as artificial intelligence and informatics while keeping patients' medical and emotional needs at the center of all treatment. The Health System includes approximately 7,400 primary and specialty care physicians; 13 joint-venture outpatient surgery centers throughout the five boroughs of New York City, Westchester, Long Island, and Florida; and more than 30 affiliated community health centers. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics and top 20 in Cardiology/Heart Surgery, Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology. New York Eye and Ear Infirmary of Mount Sinai is ranked No. 12 in Ophthalmology. U.S. News & World Report's "Best Children's Hospitals" ranks Mount Sinai Kravis Children's Hospital among the country's best in several pediatric specialties. The Icahn School of Medicine at Mount Sinai is ranked No. 14 nationwide in National Institutes of Health funding and in the 99th percentile in research dollars per investigator according to the Association of American Medical Colleges. Newsweek's "The World's Best Smart Hospitals" ranks The Mount Sinai Hospital as No. 1 in New York and in the top five globally, and Mount Sinai Morningside in the top 20 globally.
The Mount Sinai Health System is an equal opportunity employer. We comply with applicable Federal civil rights laws and does not discriminate, exclude, or treat people differently on the basis of race, color, national origin, age, religion, disability, sex, sexual orientation, gender identity, or gender expression. We are passionately committed to addressing racism and its effects on our faculty, staff, students, trainees, patients, visitors, and the communities we serve. Our goal is for Mount Sinai to become an anti-racist health care and learning institution that intentionally addresses structural racism."
EOE Minorities/Women/Disabled/Veterans
Requisition ID : 3000588
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