JOB SUMMARY:
The Referral Coordinator of Community Health Systems, Inc. (CHSI) is responsible for working collaboratively with Providers and multidisciplinary team members to coordinate activities pertaining to referrals; including all necessary paperwork that needs to be coordinated with patients or entities. Responsible for notifying patients of referral status. Ensures referral report and forms are handled per policy and referrals are being processed for follow-up treatment; schedules follow-up treatment in accordance with CHSI policy.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Will smile, speak in a courteous and friendly manner with patients, visitors and staff members.
Responsible for completing electronic health record (EHR) tasks per CHSI policy and processing all referrals; (i.e. referrals to any and all outside organizations, and following any and all specific guidelines required by these organizations).
Assure all referral documents are completed properly and sent to the referral source. Incomplete/incorrect documents will be returned for necessary changes.
Notifies patient of scheduled appointment date/location and instructions for type of referral, when applicable.
Charts all communications within EHR policy.
Responsible for processing all stat, urgent, and routine referrals per CHSI policy. Utilize the referral report daily for timeliness and accuracy.
Refer pending referrals to Clinic Administrators (CA) when timeliness exceeds policy and sends a weekly report on open/pending/closed referrals to the CA.
Follow the required guidelines determined by each individual insurance plan/program (i.e. PACT (Family planning program), (PE) presumed eligibility, sliding fee discount program, state health plans, Managed Care, etc.)
Responsible for participating in quality improvement projects/activities and accountable for quality and PCMH.
Perform all other duties as directed either formally or informally, verbally or in writing.
SUPERVISORY RESPONSIBILITIES:
This job has no supervisory responsibilities.
KNOWLEDGE, SKILLS AND ABILITIES:
Bilingual (English/Spanish) preferred.
Must possess good "customer service" including verbal and written communication.
A high standard of professionalism and professional ethics and conduct is expected in speech, manner, attitude and appearance at all times.
Possess strong interpersonal skills and ability to work well with others. Ability to deal effectively with changing situations and stressful environment.
Ability to perform tasks related to physical activity to complete the responsibilities of the position.
EXPERIENCE AND EDUCATION:
High School graduate or Equivalent Medical Assistant/Administration OR education/training in a related field preferred.
Experience in healthcare preferred.
Experience in Health Insurance Plan Eligibility, medical terminology and/or referrals preferred.
Experience working with EHR desirable.
Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).
As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.