Referral Coordinator

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    "requisitionDescription": "<div><div><div><div><div><p id=\"isPasted\"><strong><em>PRIMARY FUNCTIONS:&nbsp;</em></strong>Function as a member of clinical team in a multi-disciplinary Primary Care Medical Home, serving insured, non-insured, homeless, indigent, and other vulnerable clients. Ensure coordination of care between primary care and specialty providers for clients needing specialty care referrals and diagnostics. &nbsp;&nbsp;</p><p>Demonstrates a sincere dedication and loyalty to the philosophy and mission of Neighborhood Health.<strong>&nbsp;</strong></p><p><strong>DUTIES/ RESPONSIBILITIES:</strong> (<strong><em>Essential Functions:</em></strong><em>&nbsp;Duties and responsibilities noted with bullets are considered to be the essential functions of the job)</em></p><ul><li>Provide referral assistance to clients needing medical specialties for high risk, chronic disease, acute care, and vulnerable clients across the life span.</li><li>Work closely with clinical care team to ensure all required documentation is completed prior to initiation of referral.</li><li>Submit requests/documentation as required by patient&rsquo;s third-party insurance such as prior authorization requests and insurance referral forms for specialty care referrals as needed.</li><li>Submit precertification requests to third party insurance companies for diagnostic testing as needed.</li><li>Handle outgoing referrals for clients needing additional assistance due to language barrier, educational level, transportation challenges and issues related to mental health, age, sex, race, or financial status.</li><li>Work closely with clinical team(s) and family support services to assist in referral process and the application for financial assistance to various referral partners.</li><li>Track referrals to ensure proper documentation from referral resource is received in a timely basis following appointment.</li><li>Maintain close relationship with community partners to optimize referral process.</li><li>Work closely with the Nursing Coordinator on complex and post hospital referrals.</li><li>Provide additional back office administrative support as needed.<strong>&nbsp;</strong></li></ul><p><strong>OTHER DUTIES:</strong></p><ul><li>Prepare and maintain special internal and external reports as requested by Supervisor and/or Department Head.</li><li>Assist with developing, coordinating and recommending changes for the improvement of workflow in the program or section area. &nbsp;</li><li>May be assigned to various project lead roles to advance the development of the department and support ad hoc needs.</li><li>Able to work under minimal supervision.</li><li>Employee will be asked to perform additional duties and take on other responsibilities. <strong>&nbsp;</strong></li></ul><p><strong>QUALIFICATION/EDUCATION and/or EXPERIENCE REQUIREMENTS:</strong>&nbsp;</p><ul><li>Certificate from an accredited medical assistant/certified nursing assistant or medical records/clerical program</li></ul><p>or, a minimum 1-year clinical experience or three years clerical experience in a community/primary care setting in lieu of education. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p><ul><li>Experience in a primary care setting is highly preferred.</li><li>Excellent interpersonal communication skills and the ability to work effectively with a diverse work force and client base. &nbsp;</li><li>Proficient with electronic medical records, Microsoft Windows and Microsoft Office, including Word and Excel.</li><li>Highly organized with outstanding oral and written communication skills.</li><li>Must be able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations.</li><li>Demonstrate superior critical thinking skills, sound judgment, and decision-making and problem-solving skills.</li><li>Knowledge of local health care environment.</li><li>Fluency in Spanish and English required. &nbsp;</li></ul></div></div></div></div></div>\n",
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