Medical Referral Specialist
4 weeks ago
Summary/Objective: The Medical Assistant/Referral Coordinator assists the provider (Physician, Physician Assistant, or Nurse Practitioner) in the examination and treatment of patients and is responsible for handling referrals and calling the prospective patients to schedule appointments, ensuring that appropriate authorizations are requested, received and recorded in the EMR. Enters progress notes and other pertinent information into the electronic medical record based on the application of practices and procedures.
Essential Duties and Responsibilities:The following statements are illustrative of the essential duties of the job and do not include other nonessential or peripheral duties that may be required. We retain the right to modify or change the essential and additional functions of the job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
- Completes intake by welcoming patients and prepares patients for healthcare visits by placing patients in exam rooms, obtaining medical history and verifying patient’s information.
- Responsible for documenting a full and accurate set of vital signs.
- Populates all sections of the electronic medical record timely and accurately, including but not limited to allergies, medications, vaccines, social history, and quality tab.
- Assists providers during examination and treatment, performing point-of-care tests appropriate to skill level, certifications, and state regulations.
- Maintains supplies in storage areas and exam rooms.
- Disinfects and cleans treatment rooms following patient examinations; Maintains a safe, secure, and healthy work environment by establishing and following standards and procedures; complying with legal regulations.
- Conducts business in a service-oriented manner that is attentive, cooperative, sensitive, and respectful with all patients, visitors, and colleagues.
- Responsible for pre-visit planning per the standard operating procedure guidelines.
- Maintain all logs and required checks (i.e. refrigerator temperatures, emergency medications, expired medications, oxygen, etc.)
- Responsible for checking and addressing voicemails multiple times during the working day.
- Responsible for addressing inbox messages (buckets) in the electronic medical record for providers, provider staff, and self.
- Back-up front office when needed including check-in, check-out, appointment scheduling, and answering phones.
- Maintain a professional working relationship with vendors that support the practice.
- Follow HIPAA guidelines for all internal and external systems.
- Obtains, coordinates, and schedules referrals.
- Routinely checks physicians’ schedules for any additional add-on appointments requiring referrals.
- Serves as a representative to referring physician offices, insurance carriers and patients.
- Collaborate with all departments to ensure all referrals are facilitated.
- Assists with coordination of activities related to insurance pre-certification/authorization.
- Facilitates prior authorizations and ensures prior approval requirements are met.
- Performs administrative duties including referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, program communication to potential candidates, and communication with referral sources.
- Backs up front desk when needed.
- Ability to communicate appropriately with awareness of surroundings and audience.
- Attends training and meetings as required.
- High School Diploma or GED required.
- Must be a graduate of an accredited healthcare program, i.e. Medical Assistant, CNA, LPN, EMT or equivalent work experience required
- Maintain certifications per state guidelines
- Nationally recognized as a Certified Medical Assistant (CMA) strongly preferred
- Strong computer skills are required. EMR experience preferred
- Some MA Experience required
- Current BLS card
- 1-3 years of experience
Job Elements and Working Conditions:
- While performing the duties of this job, the employee is regularly required to stand; use hands to handle or feel; reach with hands and arms; and talk or hear.
- Occasionally required to walk; sit; and stoop, kneel, crouch, or crawl.
- Frequently lift and/or move up to 20 pounds and occasionally lift and/or move more than 25 pounds.
- Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus.
BENEFITS OFFERED:
- Health insurance plan options for you and your dependents
- Dental, and Vision, for you and your qualified dependents
The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role.
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