SSMC - Referral Coordinator

If you are an existing employee of South Shore Health then please apply through the internal career site.

Requisition Number:

R-23060

Facility:

LOC0027 - 141 Longwater Norwell141 Longwater Drive
Norwell, MA 02061


Department Name:

SMC Provider Support Services

Status:

Full time

Budgeted Hours:

40

Shift:

Day (United States of America)

As an Ambulatory Access Coordinator I – Referrals, you will be responsible for a wide variety of tasks associated with patient care referrals; ensure the timely processing of insurance authorizations; work in collaboration with clinical staff and other departments to maximize efficiency; assist patient with referral-related questions and issues.

Compensation Pay Range:

$19.10 - $27.30

ESSENTIAL FUNCTIONS

1. Log onto phone system at scheduled time and answers all incoming calls in a prompt, courteous and helpful manner, routing them to the appropriate extension and responding to requests for information.

• 2. Processes outgoing specialty referral requests for all patients:
• •Reviews each referral to determine special services/procedures being requested.
• •Informs the patient of providers/facilities used by SSMC and provides contact information so the patient may schedule the appointment.
• •Updates the patient’s referral within the EMR to reflect status changes and document additional information as needed.
• •Obtains insurance-specific authorization and communicates to patients and/or facilities with insurance issues.
• •Provides referring facility with clinical information needed to support medical necessity or continuation of care.
• •Communicates requests from patients who wish to seek care outside SSMCs preferred providers
• •Communicates issues to PCP/Triage via Telephone Encounters.
• •Transcribe and processes faxed referral requests.
• •Monitor EPIC messages including, but not limited to, MyChart messages for referral requests by transcribing referral order and securing referral authorizations.

• 3. Processes internal specialty referral requests for all patients:
• •Reviews each referral to determine special services/procedures being requested.
• •Updates the patient’s referral within the EMR to reflect status changes and document additional information as needed.
• •Obtains insurance-specific authorization and communicates to patients and/or facilities with insurance issues.
• •Communicates requests from patients who wish to seek care outside SSMCs preferred providers.
• •Communicates issues to PCP / Triage via Telephone Encounters.
• •Transcribe faxed incoming referral requests.
• •Monitor EPIC messages including, but not limited to, MyChart messages for referral requests by transcribing referral order and securing referral authorizations.

• 4. Works independently to complete daily assignments by the end of the shift and long term assignments by established deadline.
• •Efficiently manages work schedule to accomplish assignments and activities before deadline.
• •Works independently with infrequent need for supervision.
• •Informs supervisor when not able to meet deadline.

• 5. Embraces technological solutions to work processes and practices.
• •Accepts changing environment as technology advances, willing to learn new techniques and equipment.
• •Receptive to changes in department work processes and practices.
• •Seeks appropriate guidance for new techniques.
• •Offers suggestions for change to improve department.
• •Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.
• •Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

• 6. Staff will work to enhance the patient experience in every interaction.
• •Demonstrates professional courtesy in all interactions with patients and coworkers.
• •Answers all questions in a polite, professional manner or finds someone who can answer the question.
• •Able to handle difficult patients or situations in a calm, professional manner.
• •Able to report issues/concerns using the chain of command.

• 7. Staff is able to independently manage daily office functions:
• •Able to perform multiple work tasks efficiently and effectively.
• •Able to maintain a high level of concentration at all times.
• •Able to work under pressure and to maintain composure during stressful situations.
• •Able to complete tasks according to assigned deadlines.
• •Utilizes critical thinking and problem solving in day to day operations as well as in emergent situations.
• •Communicates appropriately and effectively following chain of command.
• •Demonstrates dependability and flexibility in meeting scheduling needs of the department

JOB REQUIREMENTS

• Minimum Education
• High school diploma or equivalent

• Minimum Work Experience
• One (1) year of experience in healthcare setting required
• Epic Experience preferred

• Required additional Knowledge and Abilities
• Excellent customer service skills
• Excellent verbal and written communication skills
• Excellent computer skills with knowledge of various software applications including Microsoft office (Word, Excel, Outlook)
• Excellent interpersonal skills
• Ability to meet demanding deadlines and balance multiple tasks
• Ability to work both independently and as part of a team to complete daily assignments by the end of the shift and long term assignments by established deadline.
• Detail oriented with excellent organizational and prioritization skills

Mon-Fri 8-4:30

Responsibilities if Required:

Education if Required:

License/Registration/Certification Requirements:

Basic Life Support (BLS) Certification - American Heart Association (AHA) (Including courses offered through SSH)