Affinia Healthcare
Location: Saint Louis,MO, USA
Date: 2024-12-19T23:24:18Z
Job Description:
POSITION SUMMARY: Responsible for providing customer-friendly referral initiation to medical providers and nursing staff. Responsible for total coordination and processing of patient referrals for specialty services. Completes all administrative functions associated with referral activities in a timely manner.POSITION QUALIFICATION REQUIREMENTSEducation: Minimum High School graduate or equivalent. Graduate from an approved medical assisting or other health related program preferred.Experience: Three (3) years' experience in a medical office, ambulatory care, or similar setting. Experience with referral processing preferred.Skills and Abilities which may be representative but not all inclusive of those commonly associated with this position:* Ability to communicate effectively with patients and staff in a professional, courteous and effective manner.* Must be computer literate with exceptional telephone skills.* Ability to read, writes, speak and understand the English language fluently.* Possesses high job accuracy, efficiency, and dependability.* Results and goal-oriented with a philosophy for quality improvement.* Knowledge of HIPAA regulations, ICD-10 and CPT coding.Residency and Transportation Requirement: NoneLicense(s)/Certification(s) Required: None RequiredFUNCTIONS OF THE JOBEssential Functions* Responsible for monitoring all referral reports not received and timely follow-up in accordance with agency policy and procedure.* Follows up on the referrals in a timely manner to ensure that appropriate care is received.* Attempts to answer all scheduled referrals within 2 business days (72 hours) of scheduled date or notify the Lead Referral Coordinator when such follow up is impossible.* Communicates with patient on a timely basis for all scheduling requirements.* Follows protocols for proper authorization and processing of all referrals.* Enters all referral, hospital, outpatient, and other patient specialty health service authorizations into the computer system according to agency policies and procedures.* Ability to successfully navigate between multiple systems throughout the course of the workday this includes but is not limited to billing software, payer portals, and multiple EMRS.* Maintains an approachable and appropriate attitude when interacting with all levels of personnel in a rapidly changing environment.* Forwards referral documents to Medical Records or scans into EMR for inclusion into patient charts.* Receives consultant reports, maintains documentation, and routes to the appropriate physician promptly.* Performs other duties as assigned.Marginal Functions:* Assists providers in completing all medical documentation needed to provide referral services to patients.* Documents and updates the most effective method of authorizing referrals.Supervises: NoneNOTE: Affinia Healthcare is a Covid-19 Vaccine Mandated Employer. All employees of Affinia Healthcare are required to be vaccinated for Covid-19.NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENTNOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCESAN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
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