Patient Referral Coordinator

1 week ago


Rome, New York, United States Rome Memorial Hospital Full time
Position Overview

The Patient Referral Coordinator is responsible for managing appointment scheduling for patients requiring diagnostic tests and consultations with specialists as directed by their healthcare provider.


Key Responsibilities:

  • Comply with Rome Memorial Hospital's Compliance Plan, Policies and Procedures, as well as HIPAA Privacy and Security regulations, to ensure high-quality service and confidentiality of Protected Health Information (PHI).
  • 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 according to referral protocols.
  • Contact insurance providers to verify and secure prior authorization and approval for referrals, presenting essential medical information including history, diagnosis, and prognosis.
  • Document appointment details, including time, date, and method of patient notification in the Electronic Medical Record (EMR) system.
  • In line with PCMH guidelines, discuss referral specifics and expectations with patients, offering clear explanations and written instructions when needed.
  • Ensure timely processing of referrals.
  • Communicate with patients regarding their scheduled appointments through mail or phone.
  • Exhibit strong communication skills with healthcare providers, supervisors, colleagues, patients, and other departments as required.
  • Perform additional related tasks as necessary to support efficient operations.
  • Handle phone inquiries and perform other receptionist duties as needed.

Qualifications:

  • High School diploma or equivalent.
  • Familiarity with the referral process and the insurance sector.
  • Highly organized with exceptional attention to detail and the ability to prioritize tasks effectively.
  • Strong verbal and written communication skills.


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