Referral Coordinator

3 weeks ago

Cambridge, United States Harvard University Full time

**Job Summary**

Serves as liaison between patients and providers to schedule diagnostic tests and specialty consultations at outside organizations (prior authorization as needed) and in-house specialty appointments. Obtains date of service and follows up with visit results. Assists patients with tracking referral status in the electronic system. Works collaboratively with Member Services and Care Coordination departments. Office responsibilities include data entry and coordination of mailings. Collaborates with satellite and specialty offices in processing referrals.

DUTIES AND RESPONSIBILITIES:

- Knowledgeably articulates insurance limitations to patients.
- Tracks referral status in the electronic system and ensures documentation of referral visits is available for PCP follow-up or upon request.
- Schedules diagnostic tests and specialty consultations at outside organizations.
- Assists patients with scheduling in-house specialty appointments.
- Assists patients by providing directions to outside facilities.
- Serves as liaison between patient and inside/outside providers.
- Communicates referral appointment information to patient and provider.
- Keeps pre-testing instructions updated from referral organizations.
- Generate reports as requested.
- Work collaboratively with Member Services and Care Coordination department.
- Enters referral into “BlueLinks.”
- Enters patient information into “AIM” to obtain prior approvals.
- Initiates process for over 90 days and out of network referral requests in coordination with Member Services.

GENERAL OFFICE:

- As a member of the clinical care team, assures the safe and satisfactory care of patients.
- Opens and closes the clinic according to written protocol.
- Collects and records all payments including insurance co-payments, inoculations, fee for service, and medical equipment.
- Schedules patient appointments utilizing all functions of the appointment system.
- Completes all the necessary information in scheduling patient appointments.
- Handles all emergency phone calls appropriately, efficiently, and according to emergency protocol.
- Responds appropriately to patient requests for medical record information.
- Types and sends letters.
- Assists patients by providing directions, escorting, transporting, and ensuring their comfort and safety.
- Sets priorities in organizing activities for the day.
- Demonstrates flexibility when unexpected changes in assignment occur.
- Identifies own learning needs and requests assistance from others when needed.
- Documents care provided using appropriate forms.
- Communicates to other staff members/group leader and/or clinician prior to leaving unit for break or lunch periods and prior to leaving for the day in order to ensure appropriate unit coverage.
- Demonstrates the ability to identify and respond to potential life threatening situations during telephone encounters.
- Demonstrates universal precautions in all care delivery.
- Carries out proper procedure for reporting faulty equipment.
- Prepares medical records ensuring that confidentiality is maintained.

**Position Description**
- Knowledgeably articulates insurance limitations to patients.
- Tracks referral status in the electronic system and ensures documentation of referral visits is available for PCP follow-up or upon request.
- Schedules diagnostic tests and specialty consultations at outside organizations.
- Assists patients with scheduling in-house specialty appointments.
- Assists patients by providing directions to outside facilities.
- Serves as liaison between patient and inside/outside providers.
- Communicates referral appointment information to patient and provider.
- Keeps pre-testing instructions updated from referral organizations.
- Generate reports as requested.
- Work collaboratively with Member Services and Care Coordination department.
- Enters referral into “BlueLinks.”
- Enters patient information into “AIM” to obtain prior approvals.
- Initiates process for over 90 days and out of network referral requests in coordination with Member Services.
- GENERAL OFFICE:
- As a member of the clinical care team, assures the safe and satisfactory care of patients.
- Opens and closes the clinic according to written protocol.
- Collects and records all payments including insurance co-payments, inoculations, fee for service, and medical equipment.
- Schedules patient appointments utilizing all functions of the appointment system.
- Completes all the necessary information in scheduling patient appointments.
- Handles all emergency phone calls appropriately, efficiently, and according to emergency protocol.
- Responds appropriately to patient requests for medical record information.
- Types and sends letters.
- Assists patients by providing directions, escorting, transporting, and ensuring their comfort and safety.
- Sets priorities in organizing activities for the day.
- Demonstrates flexibility when unexpected changes in assignment occu

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