Referral Coordinator
Referral Coordinator
<p>Community Health Center in Phoenix is seeking a Referral Coordinator.</p><p>Referral Coordinator is responsible for following referral procedure guidelines, obtaining prior authorization as needed by health plans, processing referrals and scheduling appointments to specialists for patients per provider requests.</p><p><strong>ESENTIAL DUTIES AND RESPONSIBILITIES </strong>include the following. </p><p>All referrals are processed in a timely and efficient manner and according to the referral procedure guidelines. Insurance verification is confirmed prior to processing the referral</p><p>According to guidelines/primary care provider requests, provides appropriate clinical information to specialists in order for referrals to be processed</p><p>All STAT and ASAP referrals are processed within one business day. Routine referrals should be processed within 3 business days, routine screening consults within 5 business days</p><p>Patients are notified verbally and given/sent written confirmation regarding their appointment time, location, special instructions.</p><p>Maintains referrals tracking system and up to date referrals documentation</p><p>Follow up on prior authorizations is performed at least weekly and notes made in the referral notes section</p><p> </p><p>Statistics of all referrals processed are reported as directed to the Operations Director/manager of the department</p><p>For referrals not requiring prior authorization, and if patient is at a provider visit, every attempt is made to process the referral(s) while the patient is here</p><p> </p><p>Performs other duties as assigned.</p><h1><span style="font-family: arial,helvetica,sans-serif; font-size: small;">ADDITIONAL RESPONSIBILITIES</span></h1><p>Promotes positive patient/guest relation in accordance with Health Center policies, providing a high level of quality in personal attention and service to patients and visitors.</p><p>Observes organizational policies concerning unscheduled absences and reports unscheduled absences in accordance with departmental procedures. Has 3 or fewer occurrences of unscheduled absences in a twelve month period.</p><p> </p><p>If in a nonexempt position, does not incur excessive overtime. Does not work overtime without prior written approval of his/her supervisor. If in a supervisory position, controls the overtime expended by his/her subordinates within the policies and practices of the facility.</p><p>Complies with the organization Safety Policies and Procedures. Ensures compliance with governmental licensing and regulatory requirements where applicable. Conducts annual review of and complete/suggest on-going revisions of the Policies and Procedures specific to his/her department. Maintains familiarity with and abide by all established facility and departmental policies and procedures, noting changes when they are published/posted. Conducts himself/herself in a manner consistent with the Mission Statement and Values of Health Center.</p><p>Reports to work at the start of the shift 98% of the days scheduled. Follows the work rotation schedule. Explains and gives proper notification of absenteeism, as outlined in the facility Policies and Procedures. Attends a minimum of 98% of the staff meetings. Reads and signs off on all minutes of the meetings not attended. Participates in committees as assigned. Maintains 100% attendance at mandatory skill/departmental updates. Seeks out facility or external education/training that would further develop individual skills, experience or knowledge necessary for a high standard of functioning in his/her job.</p><p>Observes and respects the confidentiality of information in regard to patients, visitors and co-workers employees including salary information, if exposed to any of the above referenced information in the course of his/her job function.</p><p>Dresses according to the organization&rsquo;s dress code policy and procedure, as well as, complies with specific departmental regulations pertaining to employee appearance.</p><p>Demonstrates an understanding of facility organizational structure by utilization of appropriate channels of communication. Maintain consistent, timely communication regarding all facets of departmental activities with his/her co-workers, therefore, demonstrating good customer service skills with both external and internal customers.</p><p> </p><p> </p>
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