Referral Coordinator - Care Management - Weekends

• Ensures all referral requests are scheduled timely and in accordance with established procedures. Includes the scheduling of patient visits, testing, procedures and surgeries.
• Maintains thorough knowledge of clinical information system(s) for patient scheduling, registration, and reporting functions.
• Ensures all insurance, demographic, and eligibility information is obtained and entered into the appropriate system(s) accurately and in accordance with established procedures.
• Provides the highest level of customer service to patients, visitors, clinical staff and fellow employees. Adheres to customer service policies and standards as set forth by management at all times.
• Verifies referral and authorization requirements are met according to insurance and policy standards. Completes referral process within required timeframe.
• Provides support to other members of the team, practice, or department as it relates to administrative work, data collection and entry, medical record review and management, and report completion. Participates in special department projects as assigned by the Site Manager/Director.
• Provides patients and visitors with directions to other facilities and offices as needed.
• Communicates with management, clinical staff, and other internal and external customers.
• Maintains effective written and oral communications with a diverse population.
• Schedule is often interrupted and workload priorities changed. Operates a variety of office equipment. Maintains confidential information.
• Handles difficult situations with tact and diplomacy.
• This position involves direct interactions and contact with patients, visitors, hospital staff, vendors, providers and the general public. This may be, but not limited to, office space, patient care areas and hospital rooms.
• Criteria for Position Availability
• * Job responsibilities are 100% related to referrals and authorizations.
• * Part of the centralized referral organization structure.
• Performance Expectations
• * Score of at least 90% on 2 consecutive referral audits.
• * Completion of basic and advanced referral coordinator Epic classes.
• * Attend required referral coordinator meetings as directed by supervisor.
• * Engagement in referral coordinator Teams platform to include any of the following:
• o Pose questions
• o Check messages
• o Participate in discussion
• o Provide recommendations
• o Complete assignments
• * Participates in on-going referral related education and training.
• * Serves as a resource to assist with referral related questions and guidance.

Education: Associate degree or equivalent combination of education or equivalent 4 years of experience required.
Experience: Experience in Healthcare practice setting preferred.
Licensure, certification, and/or registration:

Virginia MLTSS (UAI) Certification required to complete orientation and must be maintained throughout employment.
Other Minimum Qualifications: Advanced computer skills with knowledge of a variety of software programs, including Microsoft word, Excel, Access, word processing, spreadsheets and presentation or database software. Excellent communications and organizational skills required.

This job description is only meant to be a representative summary of the major responsibilities and accountabilities performed by the incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Recruiter:

Recruiter Email:

For more information, contact the HR Service Center at 1-800-599-2537.

Carilion Clinic is an Equal Opportunity Employer: We provide equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age (40 or older), disability, genetic information, or veterans status. Carilion is a Drug-Free Workplace. For more information or for individuals with disabilities needing special assistance with our online application process contact Carilion HR Service Center at 800-599-2537, 8:00 a.m. to 4:30 p.m., Monday through Friday.

For more information on E-Verify: https://www.carilionclinic.org/eoe-e-verify-and-right-work-policies

Carilion understands the importance of prioritizing your well-being to help you develop and thrive. That's why we offer a well-rounded benefits package, and many perks and well-being resources to help you live a happy, healthy life - at work and when you're away.

When you make your tomorrow with us, we'll enhance your potential to realize the best in yourself.Below are benefits available to you when you join Carilion:

• Comprehensive Medical, Dental, & Vision Benefits
• Employer Funded Pension Plan, vested after five years (Voluntary 403B)
• Paid Time Off (accrued from day one)
• Onsite fitness studios and discounts to our Carilion Wellness centers
• Access to our health and wellness app, Virgin Pulse
• Discounts on childcare
• Continued education and training

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