University of Rochester Referral Coord II - 223450 in Rochester, New York
Referral Coord II
Strong Memorial Hospital
Full Time 40 hours Grade 007 Outpatient Department III
With general direction and latitude for initiative and judgment performs routine and non- routine administrative duties to monitor and process department’s referrals. Is accountable for completing all referrals in a manner compliant with University standards. The majority of referrals processed are those received by the department but also processes those prescribed by the department’s providers.
SUPERVISION AND DIRECTION RECEIVED:
Receives minimal direction from physician, mid-level providers, department head and/or administrative officer. Is responsible for independently planning, executing and evaluating own work.
SUPERVISION AND DIRECTION EXERCISED:
Directs other secretarial and clerical assistants. May train and coordinate activities of peers or support staff.
MACHINES AND EQUIPMENT USED:
Standard office equipment including computer, calculator, telephone, facsimile. Will use software for electronic medical record system, appointment scheduling system, and Operating Room scheduling system and other systems as needed.
In processing referrals for receiving providers as well as prescribing providers, prioritizes referrals by following and applying standard policies, procedures and practices. Employs multiple tracking mechanisms to ensure all referral approvals and that patient receives their appointment in a timely manner ensuring patients are always cleared for their appointment prior to their arrival. Enters progress notes and other pertinent information into the electronic medical record based on application of practices and procedures.
Specific blend of referral duties may vary depending on the department structure and business needs:
Reviews referrals to confirm or obtain insurance authorization. If no authorization, returns referral to referring provider’s office via electronic medical record system.
Identifies, by applying knowledge of provider sub-specialties, the appropriate provider with whom to make an appointment.
Schedules required ancillary services needed to prepare for appointment. Follow up with patient to ensure completeness.
Explains whether provider participates with patient’s insurance and if not, describes options for payment.
Conveys instructions to patients for appointment by applying the appropriate protocol. Enters scheduled appointment information into electronic medical record for referring provider office to view.
Assembles, from multiple tabs within the electronic medical record, the necessary details to identify what referral is ordered for patient.
Determines if preliminary testing (i.e. Imaging) is needed based on office practices and procedures and is responsible for explaining to patient, assisting with scheduling and for completeness prior to office visit.
Anticipates, gathers and sends information to insurance carrier and/or provider needed for obtaining referral or prior authorization for required preliminary testing.
Completes the referral request in the electronic medical record system once the patient has been seen by entering a new status as closed.
Associate’s degree in Medical, Secretarial or related field and a minimum of three years of relevant experience required; or an equivalent combination of education and experience. Medical Terminology, experiences with surgical/appointment scheduling software (such as Flowcast), and electronic medical records, preferred. Demonstrated customer relations skills.
NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled