About this role
Essential Duties Major responsibilities: • Assures coordination of patient care between CHC provider and specialist by obtaining, verifying, and providing required information to appropriate parties. • Develop training for current and new referral staff • Audits on all specialist/diagnostic appointments book to ensure that they are done correctly. • Tracking of all booked appointments • Supports operations by assisting staff with internal and external communication, and by maintaining necessary document flow. • Assures that the process of referrals meets the specific guidelines of all contracted insurance carriers in the appropriate time frame. • Enters and updates information into the medical computer systems, maintains a file of all pending referrals. • Institutes a referral tracking process, allowing all clinical support staff to view that information for patients or insurance carrier. • Documents all changes in health coverage for CHC patients, and initiates phone/computer contact to other outside agencies for eligibility, identification and authorization. • Arranging appointments, notify member and/or family of appointment date and any special instructions regarding their appointment. • Conducts the training of new/additional staff in the referral processes. • Maintains a safe and clean working area at all times. • Use of good time management skills. • Contributes to the “Team Concept” • Actively participate in staff meetings and works toward accomplishing department goals and objectives. • Ability to work well with others, accomplishing expected results. • Reports to work at the appointed time, adhering to policies and procedures regarding attendance. • Displays a positive attitude toward all department providers, supervisors and staff members. • Maintains member confidentiality. Be aware of the organization's protocols and adhere to their requirements, included but not limited to those addressing HIP AA compliance. • Demonstrates understanding and commitment to the health center mission. • Demonstrates understanding and commitment to the established CHC Values & Standards. • Other duties as assigned Minimum Qualifications: • High School Diploma or GED plus required • Min. 1 year Supervisor experience • Min. 3 years related Referral experience • Experience in appointment scheduling. • Knowledge of referral process in the Medical office (experience may be substituted for formal training) • Basic computer skills required. • Good interpersonal skills and ability to work and foster Team environment is required. • Certification in Medical Receptionist or Medical Secretary preferred.
Supervision Exercised: Referral Clerks/Assistants and Screening/Prevention team Competencies: Individual departments may develop competencies which will be communicated and maintained through CHC's performance evaluation system. Environmental Working Conditions: The environment is a normal office environment of a busy Community Health Center. Physical Requirements: The physical and mental demands are representative of those that must be met by an employee to successfully perform the essential duties of this job with or without a reasonable accommodation. Normal visual acuity and standard clerical dexterity to operate computers, printers, photocopiers, and fax machines; moderate walking, standing, reaching, and stooping in order to accomplish everyday office tasks required.