| Location | Laredo, TX |
JOB DESCRIPTION: Responsible for coordinating and completing referrals ordered by providers, acquiring and verifying third party information for referrals, obtaining and arranging referral appointments, and/or tracking referrals and task as deemed necessary.
SUPERVISION: Directly supervised by the CSR/Care Coordination Program Manager.
TYPICAL PHYSICAL DEMANDS: Requires standing, walking, stooping, bending, kneeling and must be able to move up to 25 pounds. Requires the use of office equipment, i.e., copiers, computers, etc.
FUNCTIONS AND RESPONSIBILITIES:
Assists in scheduling referrals, consults, and diagnostic testing.
Tracks results of referrals, consults, and diagnostic testing
Coordinate all aspects of completing referrals ordered by providers and contacts patients when authorization is obtained. (i.e. obtain pre-op authorizations and insurance authorizations).
Arrange referral appointments ensuring proper paperwork is given to patient for appointment per orders (i.e. labs, x-rays, post hospital visits, etc.)
Track referral "no shows" in Electronic Health Record and bring to the attention of the ordering provider.
Maintain communication with the provider and patient regarding appropriate specialist to refer to in each case.
Maintain specialty provider list including payor sources providers accept.
Make appropriate notations on patient's health record and bring to the attention of the ordering provider any problems regarding obtaining referrals including:
Obtaining authorizations from third party payors.
Making appointments with specialty providers.
Patients refusing a referral.
Patients not showing for a referral appointment.
Document accurately in Electronic Health Record.
Performs other duties as assigned.
Contacts patients overdue for care and encourages appropriate follow up care
Coordinates continuity of patient care with patients and families following hospital admission, discharge, and ER visits.
Performs other duties as assigned.