(This is a full time position that will support our TPC team at Southpark Monday to Friday 8 am to 5 PM)
Primary Job Responsibilities:
- Coordinates the work of and provides hands-on supervision of Referral Authorization Specialist to manage referral appointment requests from clinics.
- Directs all departmental activities including scheduling, staffing and daily operations as well as administrative duties such as problem resolution and quality assurance monitoring. Throughout the referral coordination process, monitors the status of referral requests and facilitates process to ensure patients secure referral authorizations in a timely manner.
- Provides support for the hiring, training, on-going supervision and evaluation of all referral coordinator staff. Coordinates and ensures the comprehensive orientation of new department team partners and assesses baseline competency. Ensures all team members are fully onboarded, trained, and consistently aligned with current workflows and payer requirements.
- Coordinates work schedules, coverage plans and assignments for referral coordinators.
- Ensures team partners follow departmental and organizational policies and procedures, including thorough knowledge of the referral appointment request process and compliance with Clinics mission statement. Reinforces adherence to standardized workflows and quality expectations.
- Troubleshoots issues and concerns related to, or from, providers.
- Maintains, monitors, and edits provider distribution list. Tracks quality metrics including rework rates, audit findings, and error trends.
- Maintains oversight of audit processes, rework tracking, and quality reviews, and partners with leadership to develop action plans to address identified gaps.
- Monitors productivity of Referral Authorization Specialist. Communicate the workflow process and act as the “go to” person for Referral Specialists.
- Identifies opportunities for process improvement and collaborates with leadership to enhance efficiency, accuracy, and patient access.
- Other duties as assigned.
Requirements:
- Completion of Hepatitis B Vaccine and Flu Vaccine Form will be required. Candidate may decline vaccination through declination form or may provide record of vaccination from previous employer.
- Completion of TB test will be required.
Education:
- High school diploma: Associate degree preferred
Experience:
- Five (5) years as a Patient Care Coordinator in a medical office or healthcare facility experience
- Minimum of one (1) year as a referral coordinator preferred.
- E.H.R. and Scheduling experience
- Experience serving customers in person and on the phone.
Physical Requirements:
- Work consistently requires walking, standing, sitting, lifting, reaching, stooping, bending, pushing, and pulling.
- Must be able to lift and support weight of 35 pounds
- Ability to concentrate on details.
- Use of computer for long periods of time.
Top Skills
What We Do
As an independent practice, the difference is personal.
The physicians of Tryon Medical Partners joined forces because we share a core belief: the patient-doctor connection is the foundation for better health. This is the reason we are an independent practice. It allows us to remain true to our principles, while delivering better care rooted in stronger relationships.
What are the benefits of choosing an independent practice?
Value – We are able to practice medicine and conduct business nimbly and efficiently, with fewer layers of bureaucracy in our way – or our patients’.
Transparency – As a leaner organization, we are in direct contact with our patients and partners. Keeping it personal means serving with integrity and accountability.
Choice – In the changing world of healthcare, consolidation has become the new normal, and options are shrinking. We created an independent practice because we believe more choices should be available to everyone. Better health comes from having more than a healthcare provider. It takes a healthcare partner.
