Referral Specialist. in POTSDAM, New York at Rochester Regional Health

Job Title: Registration Specialist
Department: Med Oncology
Location: 50 Leroy Street, Potsdam, NY 13676
Hours Per Week: 37.5hrs
Schedule: M-F, 8am-4pm or 9am-5pm

SUMMARY

This position is responsible for scheduling and obtaining authorization/pre-certifications for, but not limited to MRI, CT, Neurology, Pain Management and other specialized testing as well as referrals to other MD Specialists and for detailing all patient and third-party interaction in the patient’s EMR. Promotes and provides customer satisfaction and appropriateness of care for all assigned patients.

RESPONSIBILITIES

• Greets all patients, whether in person or via the telephone, with a cheerful and helpful attitude.

• Provides coordination of testing to be performed with physician, patient, facility and payer. This includes reviewing medical documents for clarity, ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval.

• Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing.

• Refers self-pay and out-of-network patients to the appropriate resource to help with payment.

• Complete pre-certification/authorization with the patient’s insurance company providing any necessary documentation.

• Document authorization/pre-certification once received along with contact information of the person spoken with.

• Contacts the patient and notifies them of the scheduled procedure and all necessary instructions.

• Coordinates with the hospital or facility the arrival times of each scheduled patient and contacts them with this information.

• Assists in reviewing and revising policies and procedures pertaining to scheduling function.

• Performs other responsibilities as necessary to ensure efficiency within the practice.

• Maintains operational knowledge of department equipment: telephones, computers, faxes, copier, printers, etc.

AGE SPECIFIC CARE:

• Provides age and culturally appropriate assessment, interpretation of clinical and laboratory data and develops and implements age-appropriate interventions and plans of care including education within the parameters of his/her position responsibilities and licensure. Ensure staff considers age related concerns such as hearing, vision, speech and level of understanding, when interacting with patients, employees and families.

MINIMUM QUALIFICATIONS:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Education/Training: High school diploma or GED certificate required, AAS in related field most helpful.