Referral Coordinator - Care Management - Carilion Rockbridge Community Hospital

Overview

Employment Status: Full time Shift: Day/Night (United States of America)
Facility: 1 Health Cir - Lexington
Requisition Number: R157529

The Referral Coordinator is accountable for performing core job responsibilities related to referrals, such as scheduling, referral authorization and/or medical record maintenance, for a practice, clinic, and/or department. Accountable for accurate and efficient coordination of care related to screening, diagnostic, or therapeutic testing, and consultative and therapeutic referral scheduling. Performs additional functions related to front office operations to meet specific needs of the team, practice, or department.

Serves as a resource person for patient, physician, office staff, various facilities, service lines, and outside agencies utilizing effective communication, courtesy, confidentiality and professionalism in all interactions.

This is Carilion Clinic, an organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award-winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.

• Ensures all referral requests are scheduled timely and in accordance with established procedures. Includes the scheduling of patient visits, testing, procedures and surgeries.
• Maintains thorough knowledge of clinical information system(s) for patient scheduling, registration, and reporting functions.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the appropriate system(s) accurately and in accordance with established procedures.
• Provides the highest level of customer service to patients, visitors, clinical staff and fellow employees. Adheres to customer service policies and standards as set forth by management at all times.
• Verifies referral and authorization requirements are met according to insurance and policy standards. Completes referral process within required timeframe.
• Provides support to other members of the team, practice, or department as it relates to administrative work, data collection and entry, medical record review and management, and report completion. Participates in special department projects as assigned by the Site Manager/Director.
• Provides patients and visitors with directions to other facilities and offices as needed.
• Communicates with management, clinical staff, and other internal and external customers.
• Maintains effective written and oral communications with a diverse population.
• Schedule is often interrupted and workload priorities changed. Operates a variety of office equipment. Maintains confidential information.
• Handles difficult situations with tact and diplomacy.
• This position involves direct interactions and contact with patients, visitors, hospital staff, vendors, providers and the general public. This may include office space, patient care areas and hospital rooms.
• Criteria for Position Availability
• • Job responsibilities are 100% related to referrals and authorizations.
• • Part of the centralized referral organization structure.
• Performance Expectations
• • Score of at least 90% on 2 consecutive referral audits.
• • Completion of basic and advanced referral coordinator Epic classes.
• • Attend required referral coordinator meetings as directed by supervisor.
• • Engagement in referral coordinator Teams platform to include any of the following:
  Pose questions;
  Check messages;
  Participate in discussion;
  Provide recommendations;
  Complete assignments.
• • Participates in ongoing referral related education and training.
• • Serves as a resource to assist with referral related…