Referral Coordinator (Outpatient Community Based Clinic) – South Chicago, IL
We are seeking a Referral Coordinator for a well-respected out-patient community based clinic in South Chicago. The Referral Coordinator would work Monday-Friday 8:00am-5:00pm with no weekends or on call responsibilities. English / Spanish (bi-lingual) is required for this role.
The Referral Coordinator—coordinates, and implements the referral services program to ensure quality patient care. This includes scheduling all follow-up appointments within the Clinic or outside healthcare offices. This position will find a specialist (according to physicians recommendation) and make appointments for patients (if patient is unable to do so). The candidate would be required to manage clinic slot availability, respond to voice-mails and messages, obtain insurance authorization for appointments and perform general office tasks such as answering phones, sending faxes and sending emails. Provide care for people from all life cycles within our outpatient community clinic in South Chicago. The Referral Coordinator would monitor and provide assistance with quality assurance and compliance departments. This position must be highly motivated, self-sufficient and thrive in a fast-paced setting. Excellent communication, organizational, multi-tasking, and interpersonal and team skills are a must.
Referral Coordinator (Outpatient Community Based Clinic) – South Chicago, IL
We are seeking a Referral Coordinator for a well respected out-patient community based clinic in South Chicago. The Referral Coordinator would work Monday-Friday 8:00am-5:00pm with no weekends or on call responsibilities.
The Referral Coordinator—coordinates, and implements the referral services program to ensure quality patient care. This includes scheduling all follow-up appointments within the Clinic or outside healthcare offices. This position will find a specialist (according to physicians recommendation) and make appointments for patients (if patient is unable to do so). The candidate would be required to manage clinic slot availability, respond to voice-mails and messages, obtain insurance authorization for appointments and perform general office tasks such as answering phones, sending faxes and sending emails. Provide care for people from all life cycles within our outpatient community clinic in South Chicago. The Referral Coordinator would monitor and provide assistance with quality assurance and compliance departments. This position must be highly motivated, self-sufficient and thrive in a fast-paced setting. Excellent communication, organizational, multi-tasking, and interpersonal and team skills are a must.
DUTIES AND RESPONSIBILITIES
- Routinely demonstrates superior customer service skills; ability to communicate with patients in a courteous, professional, cooperative and mature manner.
- Obtain and review patient lists and/or letters from monthly Insurance Payor Panels that require patients to be scheduled for an appointment with their Provider, and schedule accordingly.
- Provide weekly and monthly reports.
- Research general patient information in the Electronic Medical Records (EMR) System and update demographics as needed; ensure patient health insurance information is current and accurate.
- Schedule new patients daily; schedule existing no-show patients daily from MCO roster.
- Assist with contacting no show patients; make appropriate notations in EHR and/or send out letters notifying patients if they need to reschedule.
- Assist with contacting and scheduling follow-up appointments for patients that were seen in the Emergency Department (ED).
- Review and identify any scheduling or registration conflicts with Supervisor.
- Scan documents into EHR; sort/categorizes data, accurately imports registration documents into patient’s chart.
- Contact patients (via phone) for appointment reminders (for assigned physicians/providers as directed)
- Protects/observes patient confidentiality per Policies and Procedures.
- Greets patients courteously and professionally when answering the telephone and face-to face.
- Inform managed care patients of the need for referrals when applicable; enter referral information into the EHR system.
- Obtain accurate and complete information on all referring physicians
- Answer patient’s questions pertaining to clinical hours, physician’s schedules, directions to the health center, and appointment location.
- Participate in the weekend rotation of Patient Care Coordinators as scheduled.
- Contact new and established patients from Managed Care Organizations (MCO’s) payer lists (Illinicare, Meridian, Wellcare, and NextLevel, etc.) to schedule appointments.
- Track patients care gaps for all of assigned payer lists. Tracks mammography’s, pap-smears, and birthweights
- Participate in staff meetings and contribute ideas for improving clinical and administrative tasks.
- Plan, coordinate, and implement the referral services program to ensure quality patient care. This includes scheduling all following appointment within the Clinic or outside healthcare offices.
- Monitors and provides assistance with quality assurance and compliance functions.
- Processing all referral requests, contacting medical specialty practices to request consultation and treatment, communicating with patients regarding the processes for scheduling, and communicating with PCP regarding nature of request and status of referral
- Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis.
- Provide appropriate clinical information to Specialist
- Provide patients with all necessary approved documentation for referral services; review details and expectations about the referral with patients; assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance); may assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely manner.
- Ensure that referrals are addressed in a timely manner; remind patients of scheduled appointments via mail or phone.
- Maintain ongoing tracking and appropriate documentation on referrals within our EMR system.
- Promote team awareness and ensure patient safety; enter data and maintain accurate database for tracking utilization of medical specialty services
- Produce and/or assist in the production of reports regarding specialty services utilization and other requests; ensure that patient's electronic medical chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health
- Follow all rules required to comply with confidentiality and HIPAA policies.
- Assure day-to-day referral operations are maintained, e.g. answering telephone, scheduling patient appointments and performing other duties as requested.
- Track and follow-up with all referral information, ensuring that it is returned to us in a timely manner.
- Maintain all data needed for patient portal and shared portal are in our electronic medical record system and is accurate and useable.
QUALITY ASSURANCE DUTIES AND RESPONSIBILITIES
- Generate manual reports from NextGen’s EMR system per indicators.
- Collect, analyze and oversees data pertaining to all patients per indicators.
- Collaborate and consults with Practice Administrator regarding current quality improvement indicators.
- Generate monthly reports for UDS per Practice Administrator’s directives
- Audit all patients chart based on indicators and per Practice Administrator’s directives.
QUALIFICATIONS Medical Assistant Certificate or associate degree. Bachelor’s degree preferred with one to three years of experience in community outreach setting. Must be knowledgeable about the community and businesses at large. Ability to project a positive, concerned image to the public Ability to communicate effectively, orally and in writing. Sufficient skills in typing to complete 45wpm accurately. Must be self-driven, result oriented with positive outlook. Must be reliable, tolerant, determined, responsible and accountable, and be a team player. Experience with computer, calculator, and keyboard required. Ability to handle large volumes of work within prescribed timeframes Ability to perform multiple tasks under pressure
Kurt Schussler
Managing Partner
Medical Advantage Recruiters
15305 Dallas Parkway, 12th Floor
Addison, TX 75001
Direct: 817-491-5260
E-mail: [email protected]
www.medicaladvantage.net
DUTIES AND RESPONSIBILITIES:
- Routinely demonstrates superior customer service skills; ability to communicate with patients in a courteous, professional, cooperative and mature manner.
- Obtain and review patient lists and/or letters from monthly Insurance Payor Panels that require patients to be scheduled for an appointment with their Provider, and schedule accordingly.
- Provide weekly and monthly reports.
- Research general patient information in the Electronic Medical Records (EMR) System and update demographics as needed; ensure patient health insurance information is current and accurate.
- Schedule new patients daily; schedule existing no-show patients daily from MCO roster.
- Assist with contacting no show patients; make appropriate notations in EHR and/or send out letters notifying patients if they need to reschedule.
- Assist with contacting and scheduling follow-up appointments for patients that were seen in the Emergency Department (ED).
- Review and identify any scheduling or registration conflicts with Supervisor.
- Scan documents into EHR; sort/categorizes data, accurately imports registration documents into patient’s chart.
- Contact patients (via phone) for appointment reminders (for assigned physicians/providers as directed)
- Protects/observes patient confidentiality per Policies and Procedures.
- Greets patients courteously and professionally when answering the telephone and face-to face.
- Inform managed care patients of the need for referrals when applicable; enter referral information into the EHR system.
- Obtain accurate and complete information on all referring physicians
- Answer patient’s questions pertaining to clinical hours, physician’s schedules, directions to the health center, and appointment location.
- Participate in the weekend rotation of Patient Care Coordinators as scheduled.
- Contact new and established patients from Managed Care Organizations (MCO’s) payer lists (Illinicare, Meridian, Wellcare, and NextLevel, etc.) to schedule appointments.
- Track patients care gaps for all of assigned payer lists. Tracks mammography’s, pap-smears, and birthweights
- Participate in staff meetings and contribute ideas for improving clinical and administrative tasks.
- Plan, coordinate, and implement the referral services program to ensure quality patient care. This includes scheduling all following appointment within the Clinic or outside healthcare offices.
- Monitors and provides assistance with quality assurance and compliance functions.
- Processing all referral requests, contacting medical specialty practices to request consultation and treatment, communicating with patients regarding the processes for scheduling, and communicating with PCP regarding nature of request and status of referral
- Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis.
- Provide appropriate clinical information to Specialist
- Provide patients with all necessary approved documentation for referral services; review details and expectations about the referral with patients; assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance); may assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely manner.
- Ensure that referrals are addressed in a timely manner; remind patients of scheduled appointments via mail or phone.
- Maintain ongoing tracking and appropriate documentation on referrals within our EMR system.
- Promote team awareness and ensure patient safety; enter data and maintain accurate database for tracking utilization of medical specialty services
- Produce and/or assist in the production of reports regarding specialty services utilization and other requests; ensure that patient's electronic medical chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health
- Follow all rules required to comply with confidentiality and HIPAA policies.
- Assure day-to-day referral operations are maintained, e.g. answering telephone, scheduling patient appointments and performing other duties as requested.
- Track and follow-up with all referral information, ensuring that it is returned to us in a timely manner.
- Maintain all data needed for patient portal and shared portal are in our electronic medical record system and is accurate and useable.
QUALITY ASSURANCE DUTIES AND RESPONSIBILITIES:
- Generate manual reports from NextGen’s EMR system per indicators.
- Collect, analyze and oversees data pertaining to all patients per indicators.
- Collaborate and consults with Practice Administrator regarding current quality improvement indicators.
- Generate monthly reports for UDS per Practice Administrator’s directives
- Audit all patients chart based on indicators and per Practice Administrator’s directives.
QUALIFICATIONS:
Medical Assistant Certificate or associate degree. Bachelor’s degree preferred with one to three years of experience in community outreach setting. Must be knowledgeable about the community and businesses at large. Ability to project a positive, concerned image to the public Ability to communicate effectively, orally and in writing. Sufficient skills in typing to complete 45wpm accurately. Must be self-driven, result oriented with positive outlook. Must be reliable, tolerant, determined, responsible and accountable, and be a team player. Experience with computer, calculator, and keyboard required. Ability to handle large volumes of work within prescribed timeframes Ability to perform multiple tasks under pressure
COMPENSATION AND BENEFITS:
$21-$23 per hour
Full benefits including Medical, Dental, Vision, 401K
Generous PTO and Paid Holidays
$500 Signing Bonus!
Kurt Schussler
Managing Partner
Medical Advantage Recruiters
15305 Dallas Parkway, 12th Floor
Addison, TX 75001
Direct: 817-491-5260
E-mail: [email protected]
www.medicaladvantage.net
Job Type: Full-time
Pay: $21.00 - $23.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- 403(b) matching
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance
- Wellness program
Work Location: In person
