Referrals Coordinator

3 weeks ago

Reston, Virginia, United States SOS International LLC Full time
Job Summary

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 of information in the patient's medical record.
  • Support the outside provider recruitment process as liaison between providers and government customer.
  • Maintain a system of records for tracking purposes for 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 the 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 where applicable.
  • Coordinate transportation with custody transport staff for the scheduled off-site medical appointments and create the sealed medical packet that is sent with the patient, via custody transportation staff, that contains pertinent medical documentation for the appointment.
  • File/scan laboratory, radiology, and other reports in appropriate sections of the electronic medical record when patient returns from off-site visit.
  • Route clinical reports to appropriate clinic staff within prescribed timeline.
  • Correspond with off-site medical facilities and Provider network providers to request pertinent medical information to place in the medical record using appropriate forms.
  • Track requests and perform follow-up ensuring receipt of information requested.
  • Handle all correspondence requiring authorizations for payment of medical services.
  • Review all 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.
  • Use multiple systems to process a variety of narrative and tabular material to prepare, update, and maintain a medical record and provide required and requested information to appropriate medical personnel.
  • Complete reports needed to ensure that all referrals have been completed correctly before they are transmitted to the VA system for payment and correct any errors found.
  • Assist to reconcile and resolve denied outside provider claims.
  • Perform record keeping functions in accordance with program policies and position.
  • Maintain functional proficiency and ease of use utilizing 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 in all work activities.
  • Adhere to and maintain awareness of: Policies, Procedures, Directives, Operational Memoranda and accreditation standards as prescribed by 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.
Requirements
  • 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 the processing of electronic medical/health records was part of the daily responsibilities.
  • Ability to obtain/maintain required security clearance.
  • Ability to obtain/maintain pre-employment medical clearance.
  • Knowledge of the basic principles and standards of eHR procedures and methods.
  • Knowledge of the documentation requirements, timeliness of referral management, and knowledge of eHR workflow to process electronic medical referrals and records, to review referrals and records for accuracy and completeness, and to keep track of processing deadlines.
  • Basic fluency of medical terminology.
  • Administratively processes medical referrals for off-site medical appointments.
  • Schedules off-site specialty consults and follow-up appointments.
  • Requests and uploads 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).
  • Maintains Heartsaver CPR AED certification through the American Heart Association.
  • Verbal and written proficiency in Spanish is preferred.
  • Prior experience in a detention/correctional or residential healthcare setting is preferred, not required.
Work Environment

The facility operates 24/7/365, and 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.

  • Referral Coordinator

    3 weeks ago

    Reston, Virginia, United States Eisner Health Full time

    About the Role:We are seeking a skilled Referral Coordinator to join our team at Eisner Health. As a Referral Coordinator, you will play a critical role in ensuring that patients receive timely and coordinated care. Your primary responsibility will be to process patient referrals accurately and efficiently, working closely with providers, insurance...

  • Referrals Coordinator

    4 weeks ago

    Reston, Virginia, United States SOS International LLC Full time

    Job Title: Referrals CoordinatorWe 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...

  • Referrals Coordinator

    4 weeks ago

    Reston, Virginia, United States SOS International LLC Full time

    Job SummarySOS International LLC is seeking a highly skilled Referrals Coordinator to join our team. As a Referrals Coordinator, you will play a critical role in processing government customer medical referrals for off-site medical appointments.Key ResponsibilitiesPrepare, update, and maintain medical referral information for each patient, ensuring accuracy...

  • ICAP Program Coordinator

    3 weeks ago

    Reston, Virginia, United States Commonwealth of Virginia Full time

    About the Position:The ICAP Program Coordinator provides overall support and coordination for ICAP programming and operations, including course offerings and other events, check-in calls, and specialized counseling sessions, as well as on-going program promotion. Duties include client coordination, program coordination, marketing and social media, and event...

  • Wellbeing Programme Coordinator

    3 weeks ago

    Reston, Virginia, United States Golisano Institute for Business & Entrepreneurship Full time

    ROLE SUMMARYThe Golisano Institute for Business and Entrepreneurship is seeking a highly skilled and compassionate College Wellbeing Coordinator to support the overall wellbeing of our students. Reporting to the AVP for Student Experience, this role requires expertise in providing programming and support for students, as well as the ability to respond to...

  • Project Coordinator

    4 weeks ago

    Reston, Virginia, United States Edwards Moving and Rigging Full time

    Project Manager – $53, $63, Benefits – Shelbyville, KY (50% - 75% travel)The RoleWe are seeking a skilled Project Manager to join our team at Edwards Moving & Rigging in the Ohio Valley Region. As a Project Manager, you will be responsible for planning, coordinating, and overseeing every aspect of our projects, ensuring they run smoothly and meet our...

  • Provider Support Coordinator

    4 weeks ago

    Reston, Virginia, United States Astiva Health, Inc Full time

    Job Title: Provider Support CoordinatorAbout Astiva Health, Inc:Astiva Health, Inc. is a premier healthcare provider specializing in Medicare and HMO services. Our mission is to deliver comprehensive care tailored to the needs of our diverse community, prioritizing accessibility, affordability, and quality in all aspects of our services.Job Summary:The...

  • Nurse Care Coordinator

    2 weeks ago

    Reston, Virginia, United States Vitas Healthcare Full time

    Job Title: Registered NurseVitas Healthcare is seeking a compassionate and skilled Registered Nurse to join our team. As a Registered Nurse, you will play a vital role in providing high-quality patient care and support to individuals and their families facing terminal illness and bereavement.Job Summary:The Registered Nurse will be responsible for...

  • Frontline Healthcare Coordinator

    2 weeks ago

    Reston, Virginia, United States Inova Full time

    Inova is a dynamic and patient-focused healthcare organization that is seeking a skilled Frontline Healthcare Coordinator to join our team. As a key member of our Patient Access team, you will play a vital role in ensuring the smooth admission and scheduling of patients, while also providing exceptional customer service.The estimated salary for this role is...

  • RN Clinical Coordinator Medical Unit

    3 weeks ago

    Reston, Virginia, United States Reston Hospital Center Full time

    Job SummaryThe Clinical Nurse Coordinator (CNC) at Reston Hospital Center plays a vital role in ensuring high-quality, patient-centered care and coordination of all functions in the medical unit during the designated shift.In collaboration with the management team, the CNC directs, monitors, and evaluates nursing care in accordance with established policies...

  • Medical Office Coordinator

    3 weeks ago

    Reston, Virginia, United States Distinctive Home & Health Care Full time

    At Distinctive Home & Health Care, we strive to provide exceptional healthcare services to our clients. As a part-time Medical Office Secretary, you will play a vital role in supporting our team at Walter Reed Army Medical Center in Bethesda, Maryland.Key Responsibilities:Manage inbound and outbound calls from beneficiaries, ensuring timely access to quality...

  • Medical Office Coordinator

    4 weeks ago

    Reston, Virginia, United States Distinctive Home & Health Care Full time

    At Distinctive Home & Health Care, we are committed to delivering exceptional healthcare services to our clients across the United States. Our team of dedicated professionals is passionate about providing high-quality support and care to each individual we serve.We are currently seeking a part-time Medical Office Secretary to join our team at Walter Reed...

  • Regulatory Compliance Coordinator

    2 weeks ago

    Reston, Virginia, United States Northwest Asset Management Full time

    Job SummaryThe Compliance Specialist plays a critical role in managing registration and regulatory compliance processes for SEC and state-registered firms. This position involves overseeing RIA registration processing, customizing Form ADV Parts 2A and 2B, and ensuring timely submission of annual renewal fees. This multifaceted role is essential for ensuring...

  • Youth Activities Coordinator

    2 weeks ago

    Reston, Virginia, United States Super Soccer Stars Full time

    Job DescriptionWe are looking for an enthusiastic and fun-loving Soccer Coach to lead our children in exciting and educational activities. This role is ideal for someone with prior experience working with kids (as a sports coach, teacher, or leader), and who enjoys working with children.Our ideal candidate is open-minded, punctual, and organized, with a...

  • Health Information Management Systems Enrollment Coordinator

    3 weeks ago

    Reston, Virginia, United States Health Information Management Systems Full time

    As a key member of the HiMS team, the Enrollment Specialist will serve as the initial point of contact for community members inquiring about health services and make appropriate referrals to internal and/or external resources. This role requires timely enrollments and facilitation of initial screening of members per customer contracts.Key Responsibilities:1....

  • Director of Business Development

    4 weeks ago

    Reston, Virginia, United States Northview Wellness PC Full time

    About Northview Wellness PCNorthview Wellness PC is a leading provider of substance use disorder treatment services in Norcross, GA. Our mission is to deliver compassionate and personalized care to individuals struggling with addiction, empowering them to achieve a sober and fulfilling life.Job SummaryWe are seeking a highly skilled and experienced Director...

  • Director of Business Development

    4 weeks ago

    Reston, Virginia, United States Northview Wellness PC Full time

    About Northview Wellness PCNorthview Wellness PC is a leading provider of substance use disorder treatment services in Norcross, GA. Our mission is to deliver compassionate and personalized care to individuals struggling with addiction, empowering them to achieve a sober and fulfilling life.Job SummaryWe are seeking a highly skilled and experienced Director...

  • Clinical Research Associate

    3 weeks ago

    Reston, Virginia, United States Medix™ Full time

    We are seeking a highly motivated Clinical Research Coordinator to join our team at Medix™. As a key member of our research team, you will be responsible for coordinating the implementation of multiple complex clinical research protocols.Responsibilities:Coordinates the implementation of multiple complex clinical research protocols.Develops SOPs and...

  • Epic Systems Analyst

    3 weeks ago

    Reston, Virginia, United States Recru Full time

    Job SummaryWe are seeking a highly skilled Epic Systems Analyst to join our team at Recru. As an Application Support Specialist, you will be responsible for supporting the IT Access team in the Referrals/Authorizations EPIC module, as well as other third-party system integrations.Key ResponsibilitiesGather requirements, build, test, and support systems and...

  • Insurance Program Manager

    2 months ago

    Reston, Virginia, United States Incline P&C Group Full time

    AVP, Commercial & Specialty Lines Program ManagerAbout the Role:Incline P&C Group is seeking an experienced professional to lead the Commercial & Specialty Lines team. This role will report to the Vice President of Commercial & Specialty Lines and will be integral to the company's growth and profitability.Key Responsibilities:Lead the selection, onboarding,...