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• Schedule, problem solve, communicate, and coordinate referral appointments with outside specialists.
• Track and enter all referral requests in the patient's electronic health record on a daily basis.
• Coordinate with primary care staff to track the status of all provider reports on patients referred to hospitals outside clinics and specialty providers and follow up for reports/records not received on referred patients.
• Maintain accurate records of external referral patient's appointments that are kept, failed, and current status in the electronic health record and follow up with the appropriate provider.
• Ensure that all referral forms are sent, including orders, medical records, appointment confirmations, etc., in a timely manner after assigned actions are completed.
• Routinely make reminder phone calls and/or send by US mail reminders to referral patients in advance of appointment with outside providers.
• Respond to in-house provider questions, requests, and concerns regarding the status of patient referrals, care coordination, or follow-up status.
• Answer, respond to, and document phone calls, requests, and questions from patients promptly. Calls must be accurately managed or redirect as appropriate
• Routinely provide patients with other hospitals, external providers, or community-based resources as appropriate.
• Handles incoming calls from physicians and members for referral authorizations of medical services. Assists CCWV physicians and staff with locating contracted providers and answering questions regarding the authorization process. All calls determined to be of clinical nature will be directed to a licensed staff member for handling.
• Verify insurance information for referral purposes and process pre-authorizations as indicated by the patient's insurance benefit.
• Comply with all departmental policies and procedures. Participate in departmental and company in-services as appropriate.
• Perform other duties as assigned.

Great Benefits

Education

• High School or better