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Referrals Coordinator
2 months ago
We are seeking a highly skilled Referrals Coordinator to join our team at SOS International LLC. As a Referrals Coordinator, you will play a critical role in processing government customer medical referrals for off-site medical appointments.
Key Responsibilities:- Prepare, update, and maintain medical referral information for each patient, ensuring accuracy and completeness.
- Support the outside provider recruitment process as liaison between providers and government customer.
- Maintain a system of records for tracking purposes and reference in support of the Provider Network.
- Coordinate the purchase or rental of durable medical equipment for detainees in custody.
- Contact off-site community medical providers to schedule appointments for specialty care based on provider referral and document specific appointment date in the eHR.
- Track compliance with scheduled patient appointments, making timely reminder notices or calls to the off-site facility and government customer staff prior to each appointment.
- Coordinate transportation with custody transport staff for scheduled off-site medical appointments and create sealed medical packets for patients.
- File and scan laboratory, radiology, and other reports in the electronic medical record upon patient return from off-site visit.
- Route clinical reports to appropriate clinic staff within prescribed timelines.
- Correspond with off-site medical facilities and Provider network providers to request pertinent medical information for the medical record.
- Track requests and perform follow-up to ensure receipt of requested information.
- Handle all correspondence requiring authorizations for payment of medical services.
- Review documentation for completeness and route incomplete documents to the appropriate provider for correction prior to placing/scanning in the medical records.
- Receive and process requests for information in accordance with the Fair Information Practice Principles and Privacy Act.
- Utilize multiple systems to process narrative and tabular material to prepare, update, and maintain medical records and provide required information to medical personnel.
- Complete reports to ensure all referrals have been completed correctly before transmission to the VA system for payment and correct errors found.
- Assist in reconciling and resolving denied outside provider claims.
- Perform record-keeping functions in accordance with program policies and position.
- Maintain functional proficiency and ease of use with electronic health records and referrals.
- Complete and pass all Referrals Coordinator competencies, initially and annually.
- Complete all initial, annual, and ad-hoc training as required/assigned.
- Serve as a team member for analyzing established protocol practices and identifying areas for improvement.
- Maintain patient confidentiality and confidentiality of medical records in compliance with the Privacy Act and HIPAA regulations.
- Adhere to and maintain awareness of policies, procedures, directives, operational memoranda, and accreditation standards as prescribed by the customer.
- Adhere to and participate in safety, quality improvement, and other programs and collateral duties as appropriate to position.
- Attend and participate in general/medical staff meetings.
- High School Diploma or GED equivalent.
- Minimum of one-year experience in a healthcare setting as a medical record technician, medical record clerk, unit secretary, or similar position where processing of electronic medical/health records was part of daily responsibilities.
- Ability to obtain/maintain required security clearance.
- Ability to obtain/maintain pre-employment medical clearance.
- Knowledge of basic principles and standards of eHR procedures and methods.
- Knowledge of documentation requirements, timeliness of referral management, and knowledge of eHR workflow to process electronic medical referrals and records.
- Basic fluency of medical terminology.
- Administratively process medical referrals for off-site medical appointments.
- Schedule off-site specialty consults and follow-up appointments.
- Request and upload medical records to the electronic Health Record (eHR).
- Recognize documentation inconsistencies in referrals within the eHR ensuring compliance and resolution.
- Knowledge of Current Procedural Terminology (CPT) codes.
- Ability to work in a multi-cultural environment.
- Ability to work approximately 90% of time using a computer, telephone, scanner, and printers.
- Ability to utilize telephonic interpreter/translation services to complete assigned duties if not fluent in a language the patient understands.
- Ability to adapt to sudden changes in schedules and flexibility in work requirements.
- Ability to communicate proficiently in English (verbal and written) in order to develop positive rapport with patients, co-workers, and other stakeholders.
- Ability to establish and maintain positive working relationships in a multidisciplinary environment.
- Ability to navigate in an electronic work environment including eHR, web-based trainings, and Microsoft Teams application navigation.
- Knowledge of and functional proficiency in common Microsoft Office programs, specifically Microsoft Word, Excel, Outlook, and SharePoint.
- Knowledge of regulations (HIPAA/Privacy Act) regarding the confidentiality of patient medical records and information as well as Personally Identifiable Information (PII).
- Strong communication skills in both verbal and written.
- Excellent interpersonal skills.
- Proficient in Microsoft Office (MS Word, Excel, PowerPoint, Outlook, and SharePoint).
- Verbal and written proficiency in Spanish is preferred.
- Prior experience in a detention/correctional or residential healthcare setting is preferred, not required.
- Facility operates 24/7/365; an employee may be required to respond during an emergency activation.
- Ability to work non-traditional hours including evenings, as well as weekends and holidays. Night shifts may be requested at times based on mission needs but are generally not required.
- The work requires some physical exertion, such as long periods of standing; walking or jogging unaided over rough, uneven, or rocky surfaces; recurring bending, crouching, stooping, stretching, reaching, or similar activities; or recurring lifting of moderately heavy patients or equipment.
- The work may require specific, but common, physical characteristics and abilities, such as agility and dexterity, visual, and hearing capabilities.
- Must be able to respond to any medical emergency in the facility, via foot, within four minutes and perform CPR/emergency care standing or kneeling.
- Ability to work efficiently under deadlines and pressure.
- Ability to keep up in a fast-paced environment.