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Patient Referral Coordinator
2 months ago
The Patient Referral Coordinator is responsible for managing patient appointments for diagnostic tests and specialist consultations as directed by healthcare providers.
Key Responsibilities:
- Comply with Rome Memorial Hospital's Compliance Plan, Policies and Procedures, as well as HIPAA Privacy and Security standards to ensure high-quality service and protect patient confidentiality.
- Respond to incoming calls and assist patients with inquiries as necessary.
- Maintain accurate tracking and documentation of all referrals.
- Gather relevant information regarding the patient's medical history and referral requirements. Provide necessary clinical details to specialists in accordance with referral protocols.
- Communicate with insurance providers to verify and secure prior authorizations and approvals. Present essential medical information including patient history, diagnosis, and prognosis.
- Document appointment details, including time, date, and patient notification methods in the Electronic Medical Record (EMR) system.
- In line with PCMH guidelines, discuss referral specifics and expectations with patients, clarifying any special instructions related to tests and providing written guidelines as needed.
- Ensure timely processing of referrals.
- Contact patients regarding their scheduled appointments through mail or phone communication.
- Exhibit strong communication skills with healthcare providers, supervisors, colleagues, patients, and other departments as required.
- Perform additional related tasks to support efficient operations.
- Handle phone calls and perform other receptionist duties as needed.
Qualifications:
- High School diploma or equivalent.
- Familiarity with the referral process and the insurance sector.
- Highly organized, detail-oriented, and capable of managing multiple priorities.
- Strong verbal and written communication abilities.
