Clinic Referral Specialist, TJHP Cardiology Clinic

Job Description

JOB SUMMARY

Scheduling patient appointments, maintaining accurate records and data and completes follow up on referrals. Enters insurance benefits, demographics and precertification/authorizations information into the patient electronic medical record.

Job Requirements

JOB REQUIREMENTS

Minimum Education

• High School Diploma or equivalent is required.
• Associates degree in related field preferred 

Minimum Work Experience

• One year experience in a related field is preferred 
• knowledge of medical terminology required 

Required Skills

• Ability to proficiently read, write, and communicate effectively 
• Demonstrate the ability to interact effectively with customers and providers 
• Project a professional demeanor and excellent customer service skills 
• Ability to operate office equipment such as faxes, phone,s and copiers
• Be familiar with medical terminology 

FUNCTIONAL DEMANDS

Physical Requirements

Sitting - =>32%

Walking - 1-15%

Standing - 1-15%

Bending/Squatting - 1-15%

Climbing/Kneeling - 1-15%

Twisting - 1-15%

OSHA Category

Minimal potential for direct exposures.

Visual and Hearing Requirements

Must be able to see with corrective eye wear.

Must be able to hear clearly with assistance.

Other Physical/Environmental Demands

Lifting - 0-50lbs, 50lbs or more with assistance

Carrying - 0-50lbs, 50lbs or more with assistance

Pulling - up to 100lbs

Pushing - up to 100lbs

Essential Functions

• Maintains documentation that is detailed, clearly stated, objective and accurate.
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Provide appropriate clinical information to specialist.
• Assemble information concerning patient's clinical background and referral needs.
• Demonstrates the ability to investigate and resolve any discrepancy in the referral process.
• Consistently updates insurance and contact information so that the patients have the correct information on file.
• Demonstrates excellent interpersonal and communication skills with patients and other health care professionals.
• Adheres to insurance rules/regulations and patient confidentiality laws. Able to work independently on assigned duties with little or no supervision. Demonstrates basic knowledge of medical terminology.
• Demonstrates knowledge of hospital EMR system.
• Review details and expectations about the referral with patients. 
• Routinely completes follow-up on referrals as required.
• Any and all other duties as assigned.

ORGANIZATIONAL EXPECTATIONS

T.J. Pledge

I Will Show Compassion

-see all patients, family members, coworkers, physicians, and anyone else at T.J. as my customer.

-recognize that each and every interaction I have at T.J. Regional Health matters

-show kindness and compassion towards my customers at all times

-be sensitive to the personal and private needs of every customer

I Will Cooperate With Others

-maintain zero tolerance for abusive behavior

-listen and be willing to accept fault when I make a mistake

-never underestimate the power of an apology

-refrain from blame and judgment

-bring a sense of calm to stressful situations

I Will Collaborate With Others

-value myself and every coworker as an equal part of one GREAT team working together

-treat others in a way that I would like to be treated

-participate only in conversations that are courteous, respectful, and reflect positively on my teammates and T.J. Regional Health

-foster a calm and pleasant atmosphere, and refrain from gossip, rumors, and insults

-speak honestly, seek truth, and act with integrity towards my teammates

-value the uniqueness and expertise that each team member contributes to the whole

-meet the need of the moment, regardless of whether or not it is considered part of my job

I Will Communicate

-smile - at everyone

-always introduce myself, my role, and my purpose use body language, eye contact, and tone of voice that shows respect in every interaction

-follow the 10/5 rule: always acknowledging people at 10 feet away with a smile and always greeting people at 5 feet away

-escort any customer in need (visitors, patients) to their destination

I Will Adapt To Change

-be a part of the solution when I am presented with a challenge

-embrace change and set the example for those around me

-accept openly when there are changes that T.J. Regional and/or I have no control over

-manage the expectations of others by explaining duration and next steps as often as needed

I Will Be A Champion

-serve with passion

-view myself as an owner of T.J. Regional Health and act accordingly

-take responsibility for the physical appearance of T.J. Regional Health, including my work area

-go out of my way to daily thank and compliment my customers and coworkers

-dare to make a difference and be exceptional

-constantly try to improve myself and T.J. Regional Health

-speak positively about T.J. Regional, while at work and in public places outside of work