<p>JOB DESCRIPTION</p> <p>Summary/Objective</p> <p>Obtains information, insurance verification and authorization required for proper patient treatment and referrals.</p> <p>Essential Functions</p> <ul> <li>-Schedule, problem solve, communicate, and coordinate referral appointments with outside specialists. </li><li>-Track and enter all referral requests in the Referral Tracking System or EMR on a daily basis. </li><li>-Coordinate with the Patient Navigator staff to track the status of all provider reports on patients referred to hospitals, outside clinics and Specialty Providers and follow up for reports/records not received on referred patients. </li><li>-Maintain an accurate records of external referral patient's appointments that are kept, failed, and current status in the Referral Tracking System or EMR; Monitor Referral Tracking System or EMR for outstanding provider reports that are 30 days or more old, and follow-up with the appropriate provider. </li><li>Ensure that all referral forms are sent to medical records on a timely manner, after assigned actions are completed. </li><li>-Provide Intensive tracking and follow-up on all patients designated as needing Intensive Tracking; supported by a minimum of 3, if appropriate, documented efforts to re-schedule patients. (documentation in EMR / Referral tracking Data base, or others, as appropriate) </li><li>-Produce an accurate bi-weekly report of all clients designated as needing, (Intensive Tracking), which documents efforts, results, and status of each patient. </li><li>-Fax referral form to providers that do not require any records to be sent. </li><li>-Be able to process 35-45 referrals on a daily basis. </li><li>-Routinely make reminder phone calls, and send by US mail, reminder to referral patients in advance of appointment with outside provider. </li><li>-Respond to In-house provider questions, requests and concerns regarding the status of patient referrals, care coordination or follow-up status. </li><li>-Provide transportation consultation, coordination and support to clinic patients referred to specified health care facilities, (This includes clinic provided (if applicable), Insurance based support </li><li>-Answer/ respond and document all phone calls, request and questions from patients in a timely manner in the patients EMR. Calls must be accurately managed or redirect as appropriate. Be able to handle 30-45 phone calls a day. </li><li>-Routinely provide patients with other clinic and community-based resource materials as appropriate. </li><li>-Verify insurance information for referral purposes and process insurance information for referral patients. </li><li>-Performs all job functions in a professional and courteous manner. This includes answering all general phone call timely. Provide excellent customer service to internal and external clients/patients by being responsive to all inquiries in a timely manner. </li><li>-Performs job duties collaboratively with health center management and exercises good judgement. </li><li>-Fosters and promotes a culture of service excellence and accountability. </li><li>-Consistently adheres to a high standard of professional ethics; conducts self in an ethical manner and is a role model to others. </li><li>-Complies with organizational policies and procedures. </li><li>-Must act as an advocate for the patient, to insure that all efforts are made to obtain approval of the - </li><li>Provider requested referral. </li><li>-Perform all other related duties as assigned. </li></ul> <p>MEDICAL-RELATED SUPPORT</p> <p>In addition to the above-listed core job functions, these positions involve significant emphasis on all aspects of medical-related document preparation, including; transcribing dictation, summaries, reports and other medical-related correspondence and documentation.</p> <p>KNOWLEDGE, SKILLS, AND ABILITIES</p> <p>Knowledge of:</p> <ul> <li>Computer information (software and/or hardware), including word processing, spreadsheets, database, and desktop publishing. </li><li>Business correspondence format and style. </li><li>Computer operating system commands. </li><li>Departmental policies and procedures. </li><li>Medical, legal, or other specialized terminology. </li></ul> <p>Ability to:</p> <ul> <li>Deal with issues, such as client complaints and protected information, in a tactful and confidential manner. </li><li>Establish and maintain rapport with the public and staff. </li><li>Maintain composure and focus in stressful situations. </li><li>Communicate effectively in all situations. </li><li>Maintain professional appearance, conduct and appropriate attire; </li><li>Take initiative in solving problems. </li><li>Use respectful and sound judgment when approaching problems. </li><li>Write legibly and clearly. </li><li>Process and integrate a variety of complex information from multiple sources. </li><li>Use proper business English (including spelling, punctuation, capitalization, grammar, and word usage). Bilingual English and Spanish preferred. </li><li>Read, proofread and understand complex information. </li><li>Perform basic arithmetic operations to solve multiple step problems: (addition, subtraction, multiplication and division of whole numbers and decimals), compute percentages; simultaneously perform multiple tasks that require stringent attention to detail. </li><li>Code and classify information according to guidelines and principles. </li><li>Locate and retrieve materials that are misfiled or misplaced. </li><li>Sort information alphabetically and numerically. </li><li>Interpret computerized reports, tables, and charts </li><li>Good understanding of Medical Terminology </li><li>Great Communication Skills </li><li>Teamwork Orientation </li><li>Thoroughness and Attention to Detail </li><li>Follow-through, Problem Solving </li></ul> <p>Physical DemandsThis is mostly in an office setting; however, this position may require sitting for long periods of time. Walking, bending and reaching may be required as well.</p> <p>Position Type and Expected Hours of WorkThis is a part-time position. Days and hours of work are Monday through Friday, with hours of 8:00am to 5:00pm. However, these hours may be changed as the clinic standard hours may change.</p> <p>TravelTravel is sometimes required locally, and out of the area for training occasionally.</p> <p>Education and Experience</p> <ol> <li> <p>Minimum HS diploma or GED required</p> </li><li> <p>One year Referral experience in an FQHC setting preferred</p> </li></ol> <p>Other Duties</p> <p>Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice to fit the needs of this position and BACHC.</p> <p>Job Type: Part-time</p> <p>Pay: $21.00 - $23.00 per hour</p> <p>Benefits:</p> <ul> <li>401(k) </li><li>401(k) matching </li><li>Dental insurance </li><li>Health insurance </li><li>Life insurance </li><li>Paid time off </li><li>Vision insurance </li></ul> <p>Work Location: In person</p>