Essential Duties Major responsibilities:
- Assures coordination of patient care between CHC provider and specialist by obtaining, verifying, and providing required
information to appropriate parties.
- Develop training for current and new referral staff
- Audits on all specialist/diagnostic appointments book to ensure that they are done correctly.
- Tracking of all booked appointments
- Supports operations by assisting staff with internal and external communication, and by maintaining necessary document flow.
- Assures that the process of referrals meets the specific guidelines of all contracted insurance carriers in the appropriate time
frame.
- Enters and updates information into the medical computer systems, maintains a file of all pending referrals.
- Institutes a referral tracking process, allowing all clinical support staff to view that information for patients or insurance carrier.
- Documents all changes in health coverage for CHC patients, and initiates phone/computer contact to other outside agencies
for eligibility, identification and authorization.
- Arranging appointments, notify member and/or family of appointment date and any special instructions regarding their
appointment.
- Conducts the training of new/additional staff in the referral processes.
- Maintains a safe and clean working area at all times.
- Use of good time management skills.
- Contributes to the "Team Concept"
- Actively participate in staff meetings and works toward accomplishing department goals and objectives.
- Ability to work well with others, accomplishing expected results.
- Reports to work at the appointed time, adhering to policies and procedures regarding attendance.
- Displays a positive attitude toward all department providers, supervisors and staff members.
- Maintains member confidentiality. Be aware of the organization's protocols and adhere to their requirements, included but not
limited to those addressing HIP AA compliance.
- Demonstrates understanding and commitment to the health center mission.
- Demonstrates understanding and commitment to the established CHC Values & Standards.
- Other duties as assigned
Minimum Qualifications:
- High School Diploma or GED plus required
- Min. 1 year Supervisor experience
- Min. 3 years related Referral experience
- Experience in appointment scheduling.
- Knowledge of referral process in the Medical office (experience may be substituted for formal training)
- Basic computer skills required.
- Good interpersonal skills and ability to work and foster Team environment is required.
- Certification in Medical Receptionist or Medical Secretary preferred.
Supervision Exercised: Referral Clerks/Assistants and Screening/Prevention team
Competencies: Individual departments may develop competencies which will be communicated and maintained through CHC's
performance evaluation system.
Environmental Working Conditions: The environment is a normal office environment of a busy Community Health Center.
Physical Requirements: The physical and mental demands are representative of those that must be met by an employee to
successfully perform the essential duties of this job with or without a reasonable accommodation. Normal visual acuity and standard
clerical dexterity to operate computers, printers, photocopiers, and fax machines; moderate walking, standing, reaching, and stooping
in order to accomplish everyday office tasks required.