May 18, 2023

Referral Coordinator -Orthopedics

  • Baptist Health Medical Group
  • Madisonville, KY 42431, USA

Job Description

Job Summary: Under general direction, coordinates referral requests and communication of appointments using general clerical and customer service skills including, but not limited to, organizing requests from multiple locations, obtaining pre-authorizations, and communicating status of appointments.  Patient/Customer Population(s) Served: Patient/Customer Population(s) Served (CHECK ALL THAT APPLY) Neonate (Birth to Discharge) X Adult (18< 65 Years of Age) Infant (Discharge to Twelve Months) X Geriatric (65 + Years of Age) Pediatric (1<12 Years of Age) Position does not provide direct patient care and/or does not have frequent interaction with patients. Adolescent (12<17 Years of Age) Essential Duties and Responsibilities include the following. Other duties may be assigned. 1. Coordinates referral requests as ordered by the physician for diagnostic testing and specialty office appointments from multiple locations 2. Develops relationships with staff at other physicians’ offices and facilities 3. Obtains and accurately enters patients’ demographic and insurance information 4. Verifies patients’ insurance 5. Obtains preauthorization and notification information from payer sources and notes accordingly 6. Documents information for all procedures and appointments in the patient’s chart and HPP 7. Communicates procedure and appointment information to patient and requesting location 8. Maintains patient confidentiality and corporate compliance guidelines and integrity 9. Carries out additional duties as assigned 10. Attends all required safety training programs and can describe his/her responsibilities related to general safety, department/service safety, specific job related hazards, and national patient safety goals 11. Ensures positive customer relations interactions •             Manages difficult or emotional customer situations •             Responds promptly to customer needs •             Solicits customer feedback to improve service •             Responds to requests for service and assistance •             Meets commitments Key Accountabilities/Competencies: Key Accountability Weight 1. Coordinates referral requests from multiple locations 20% 2. Schedules appointments with various specialists/facilities; 30% 3. Obtains and accurately enters patient demographic and insurance information (i.e preauthorizations, patient responsibility, etc.) 30% 4. Communication with multiple locations and patients by completing appropriate documentation per policy and procedures within specified time frame 20% Core Competencies: Integrity – Works ethically and with integrity. Demonstrates understanding of BHMG mission and values in word and practice. Follows policies and procedures. Maintains corporate compliance guidelines. Hospitality – Supports healthy working partnerships throughout the organization. Demonstrates respect, compassion, and courtesy to all patients, families and co-workers. Uses Service Excellence principles in dealing with people. Maintains a positive work attitude and contributes to a positive work environment. Partnership – Willing to orient and teach others. Provides and accepts comments in a constructive manner. Stewardship – Uses resources in a cost-effective manner. Conserves organizational resources. Excellence – Actively involved in unit/practice improvements and/or practice-based teams to improve systems, reduce costs, and resolve problems that address meaningful work issues within the practice or hospital. Looks for ways to improve and promote quality. Applies comments to improve performance. Personal Accountability – Demonstrates by reporting to work as scheduled, being flexible to meet staffing needs, helping others without being asked, effectively managing time, arriving at meetings and appointments on time, and undertaking self-development activities. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of knowledge, skill and/or ability necessary to perform this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Education, Experience, Training, and Licensures/Certifications/Registrations Required: High school diploma preferred. Medical Office experience required. Familiar with CPT and ICD codes. Computer operation, basic business office skills, and telephone operation. High degree of accuracy in decision and workload required. If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Employees will be expected to comply with Baptist Health’s infectious disease and vaccination policies, which include but may not be limited to compliance with BHS’ mandatory vaccination policies for influenza and COVID unless reasonable accommodations are needed under applicable law Baptist Health is an Equal Employment Opportunity employer.

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