Position Title: Referral Coordinator Department: Medical Reports to: HIM Manager Status: Union
Position Summary: The referral coordinator maintains and updates the status of incoming, outgoing, and internal referral orders created by providers with electronic tracking processes within the clinics. Electronic Medical Record (EMR) Health Information Exchange (HIE) tools, apps, work queues, platforms, and portals are used. Performs appropriate documentation, prepares medical forms, and coordinates the authorization request process of referrals with accuracy.
Responsibilities:
• Upholds Clinica Romeros policies and procedures, HIPAA compliance, principles of responsibilities, and applicable state, federal, and local laws. • Collaborates with assigned providers, medical staff, medical offices, specialists, referral coordinators, and other programs and agencies. • Communicates clearly to promote patient engagement and education based on recommendations given by healthcare providers and specialists. • Answers and screens Referral Department phone calls, messages, correspondence, and queries. • Maintains and updates the status of incoming, outgoing, and internal referral orders created by providers with electronic tracking processes on an ongoing basis within the EPIC EMR referrals module. • Processes assigned provider referral orders based on linked services and/or programs. • Performs tracking of authorizations, generates, sends correspondence, and referral notification updates through approved EPIC electronic Referral Letter templates. • Maintains clear communication regarding referral status, updates referral reason codes, scans, and/or imports/exports specialty provider reports received and forwards to assigned providers for review. • Flags referral order deficiencies and notifies provider and appropriate personnel through EPIC In-Basket Message, EPIC secure chat module, and email. • Performs as a patient advocate and liaison for specialty providers and social service referrals through the Transitions of Care Referrals workflow. • Provides Breast and Cervical Cancer diagnosis screen date, diagnosis date screened by and diagnosed by information based on ordering provider referral order. • Notifies Referrals Manager and Informatics Specialist regarding issues of connectivity and when an external provider POS needs to be added and/or updated within the EPIC Referral Module. • Establishes and maintains courteous cooperative relations when interacting with all agencies, patients, clinic, and department personnel, and the public.
Qualifications:
• High School diploma required. • Bi-lingual English/Spanish. • College degree preferred or equivalent of three years healthcare professional experience is a must. • Experience with the usage of Electronic Medical Records Systems. • Phone etiquette experience required. • Knowledge of office equipment use such as Computer Scanner, Fax, Email, eFax, Telephone, electronic communication platforms, and/or upload platforms. • Customer service skills, communication, empathy, patience, and technical knowledge. • Ability to work in a team-oriented environment and work well under deadlines. • Ability to handle multiple tasks and work in a busy environment, including heavy telephone duty.