Referral/Enrollment Coordinator
4 weeks ago
The Referral/Enrollment Coordinator plays a vital role in ensuring seamless specialty care for patients. This position is responsible for coordinating referrals from initiation to completion, ensuring timely closure of the referral process. The Coordinator will also assist patients with enrollment and application follow-up assistance for Affordable Care Act insurance plans.
Key Responsibilities:
- Coordinate patient referrals to specialty providers throughout the entire referral process.
- Assemble information concerning patient's clinical background and referral needs.
- Communicate with specialty office to schedule appointment.
- Contact insurance companies to ensure prior approval requirements are met.
- Organize and track ordered, scheduled and pending referrals.
- Maintain appropriate documentation in electronic health record to ensure all patient and referral source communication is documented appropriately.
- Review details and expectations about the referral with patients, including any financial obligations.
- Act as a resource for patients or providers who have questions or problems relating to referrals.
Requirements:
- Interacts in a respectful and professional manner with internal and external customers.
- Able to handle multiple and conflicting priorities simultaneously.
- Able to complete assigned work in allotted timeframe.
- Possesses strong critical thinking skills.
Preferred Qualifications:
- Experience: 2 years of related work preferred.
- Additional skills required: Knowledge of medical terminology, Proficient with Microsoft Office, Excellent verbal and written communication skills, Knowledge of local insurance carriers and plans.
Education: Associate's degree in healthcare related field.
Certification(s)/Licensure: Certified Application Counselor required within 6 months of hire.
Physical Requirements:
- Repetitive movement of hands and fingers – typing and/or writing.
- Occasional standing, walking, stooping, kneeling or crouching.
- Reach with hands and arms.
- Talk and hear.
CRCHC Core Requirements:
- Patient Centered Customer Service – Whether directly or indirectly, we work to support the delivery of an excellent patient experience to everyone served by the organization.
- Caring and Compassion – We provide empathic comfort to those in distress and share kindness in all interpersonal interactions.
- Respectful Communication – We communicate openly, honestly and without judgment while honoring each individual's uniqueness and assuming the best of those with whom we interact.
- Teamwork – We are members of a diverse interdisciplinary team working together to meet a common goal.
- Accountability – We accept our individual and team responsibilities and we meet our commitments. We take responsibility for our performance and actions.
- Customer Safety – We recognize and correct potential hazards to protect ourselves and our customers.
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