Referral Coordinator in Englewood, New Jersey at Progressive Spine and Orthopaedics LLC

JOB TITLE: Referral Coordinator
SCHEDULE: Monday through Friday 8am-5pm
LOCATION: Englewood, NJ

SUMMARY: Facilitates the daily operations of an outpatient clinical practice with the commitment of providing excellent customer service to patients, families, and visitors. Works closely with the Referral Manager and the Referral Team to ensure all incoming and outgoing referrals are processed appropriately and in a timely manner.

DUTIES AND RESPONSIBILITIES:
Review and monitor referral and physician order work que to provide accurate and timely referral process documentation. Serves as the first-line resource for patients and referring providers with regards to scheduling and follow up.
Work with Business Development Director, Marketing Team, and Referral Manager to process all outgoing referral requests including but not limited to finding patients appropriate and convenient facility locations, sending the referred to facilities the appropriate referral information, and following up with the referred to facility and the patient to ensure services are being rendered appropriately.
Maintain a strong focus on patient/customer satisfaction. Act as an advocate for the patient to ensure care plan is achieved.
Answer incoming telephone inquiries: based on the type of call, problem solve, transfer, or coordinate accurately and appropriately.
Interface with the referral source, patient/family, insurance companies, and provider to ensure timely and appropriate care is provided.
Act as patient liaison to assist in providing the highest level of quality care and follow through. Including but not limited to scheduling outgoing referral appointments, following up with patient to ensure compliance with care plan, communicating with referral resources regarding treatment, providing accurate medical records to appropriate parties, etc.
Ensure that patient records are up to date and accurate documentation is kept.
Communicate potential areas of concern to the Referral Manager and follow up as necessary.
Performs other related duties as assigned by management.

QUALIFICATIONS:
High school diploma or equivalent
1-2 years clinical/healthcare work experience required.
Knowledge of insurance plans and guidelines. Working knowledge/ understanding of benefits plans and verifying eligibility.
Ability to obtain authorizations and pre-certifications from insurance plans.
Ability to work independently and prioritize appropriately.
Excellent customer service skills, written and oral communication, organizational skills,
and the ability to multi-task in a fast-paced environment.
Experience with computer systems required, including web-based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint, or Access.

GENERAL EXPECTATIONS:
Behave in a professional manner and consistently demonstrate and promote the values of respect, honesty, and dignity for the patient, families, and all members of team.
Committed to the constant pursuit of excellence and teamwork in improving the care of the patients.
Be punctual with scheduled work and use time appropriately.
Perform duties in a conscientious, cooperative manner.
Perform required amount of work in a timely fashion with a minimum of errors.
Maintain confidentiality and protect the Practice by abiding by laws and principles related to confidentiality; keeps information concerning Practice Operations, patients, and employees confidential.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:
Requires sitting and standing associated with a normal office environment. Manual dexterity is needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.

The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.