Lead Referral Coordinator - Radiation Oncology
Under general supervision coordinates the referral function and staff. Assists the senior department staff in developing and administering department policies and procedures to ensure an efficient referral and authorization acquisition process. Maintains consistent and accurate communication with Medical Center staff, referring physicians and patients. Ensures needed referrals and authorizations are obtained.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1.Coordinates daily referral function and staff; performs various referral duties:
A.Coordinates/performs patient registration activities, assuring accurate, complete and timely processing of appropriate documents.
B.Coordinates/verifies insurance benefits and arranges installment plans for patients who are personally paying for services.
C.Coordinates/obtains and verifies referral and authorization from initial patient visit through end of treatment.
D.Coordinates/inputs and updates all pertinent demographic and insurance data into automated registration systems.
E.Coordinates/investigates and responds to patient inquiries and complaints regarding payment plans, insurance coverage.
F.Coordinates/maintains up-to-date patient census.
G.Coordinates/audits paperwork and files to assure accuracy and completion.
2.Oversees work of Referral Coordinators, including organizing and scheduling daily work assignments, where applicable.
A.Assists supervisor in implementing and monitoring quality standards for unit, and in performing probationary and annual performance reviews; counsels employees on performance issues, as necessary, as directed by supervisor.
B.Assists supervisor in conducting orientation and training of new employees, when appropriate. Participates in employee interviewing, selection and hiring process, when applicable.
3.Prepares statistics for reporting purposes for monitoring and controlling department activities and performance. Ensures that new patients are tracked from first contact through end of treatment.
A.Maintains data on a number of patients seen per physician, disease categories and various relevant demographic data on patients and referring physicians.
4.Develops, implements, reviews and updates related administrative policies and procedures, ensuring the efficient processing of referrals and authorizations.
5.Attends and participates in various in-service and external training, workshops, conferences and other relevant programs for professional growth and development.
Education and Experience
1.High school diploma or equivalent (GED) is required. Associates Degree is preferred.
2.Three years progressively responsible administrative experience in health care, preferably in a referral management, hospital admitting function or equivalent. In addition, two years of supervisory or lead worker experience. Experience in an academic medical center preferred.
Knowledge, Skills and Abilities
1.Knowledge of CMS administrative and operational principles and practices, and relevant The Joint Commission regulations. Ability to maintain current knowledge of developments in the Health Care industry especially related to referral management.
2.Knowledge of the operation of a personal computer and data entry for entry and retrieval of demographic and financial information. Ability to operate routine office equipment.
3.Highly effective communication skills are required to relate to multiple levels of clinical and administrative personnel and to advise patients and visitors about hospital policies and procedures. Effective written communication skills are also required in completing admission and other documents properly.
4.Demonstrated effectiveness in supervision, including monitoring, evaluating, training and motivating the performance of subordinate staff.
5.Demonstrated ability to listen to patient information and translate to written documentation. Ability to listen to patient complaints and resolve them using positive, superior guest relations skills. Ability to use resourcefulness and problem-solving skills in appropriately resolving various patient pre-admission issues. Ability to prepare statistical and financial data.
6.Ability to work independently and to respond effectively under stress. Strong organization skills are required to implement systems for new programs.
We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected class.
Founded in 1823 as the Baltimore Infirmary, the University of Maryland Medical Center is one of the nation's oldest academic medical centers. Located on the West Side of Downtown Baltimore, the Medical Center is distinguished by discovery-driven tertiary and quaternary care for the entire state and region and innovative, highly specialized clinical programs.