Referral Coordinator (Bilingual Spanish Speaking Preferred)

Posted 2 Days Ago
Be an Early Applicant
Philadelphia, PA, USA
In-Office
Junior
Healthtech
The Role
Schedules and tracks specialist referrals, verifies insurance eligibility, completes referral documentation, contacts patients and referral facilities, reconciles specialist results in the EMR, and scans reports. Provides appointment reminders, directions, and occasional front-desk coverage including patient check-in, insurance verification, follow-up scheduling, and transportation support.
Summary Generated by Built In

PHMC is proud to lead in public health. 

Our Mission is to be the premier regional provider of integrated, community-based healthcare by combining evidence-based clinical practices, outstanding patient service, innovative care partnerships, and team-driven excellence, within a healthy fiscal environment.

Job Overview

The Referral Coordinator schedules specialist appointments and tracks and follows up with health center patients.  The Referral Coordinator will report to the Practice Manager.

Age/Patient Populations Served:

Age of Patient Population Served

 Neonate (birth - 28 days)

 Infant (29 days – less than 1 year)

 Pediatric (1 - 12 yrs)

 Adolescent (13 – 17 yrs)

 Adult (18 – 64 yrs)

 Geriatric (65 yrs & older)

 Nonage Specific Task (N/A)

Population

 Bariatric Patients: BMI greater than 40, or greater

than 35 with weight-related comorbidities

 Patient with exceptional communication needs

 Patient with developmental delays

 Patient at the end of life

 Patient under isolation precautions

 All Populations

Essential duties and responsibilities

  • Schedule referral appointments for all center patients.
  • Verify insurance eligibility utilizing the various portals
  • Complete required referral forms.
  • Provide directions to referral appointments, as needed.
  • Call and send a reminder letter for future appointments.
  • Contact patients to remind them of the appointment the business day before the appointment.
  • Call the place of referral and determine if the appointment was kept on the day of the appointment, if that information is not in EMR.  If the appointment was not kept, re-initiate the process.
  • If the results are not in EMR, call the specialist or facility to receive a copy of the result or consultation letter to reconcile the order in EMR.
  • Enter completed referral data into the EMR, including the appointment time, date, and location.
  • Scan specialist reports into EMR.
  • Track and reconcile all referrals. Required to support other sites as staffing or workflow dictates.
  • Perform other duties as assigned, which may include scanning.

    Skills:

    • Knowledgeable about specialist referrals.
    • Data entry experience, particularly with a practice management system.
    • Knowledge of medical terminology.
    • Must have a pleasant manner.
    • Spanish-speaking preferred.

    Front Desk Coverage as Needed:

    • Verify appointments and demographics.
    • Verify insurance by utilizing the appropriate insurance portal.
    • Collect and scan insurance cards and ID into the EMR.
    • Check in patients via EMR.
    • Upon checking out, print the After Visit Summary (AVS) to give to patients.
    • Schedule follow-up appointments.
    • Provide transportation support, including SEPTA pass and/or parking validation if applicable.
    • Assist with appointment confirmation calls for the provider schedules.

    Experience:

    • One year of experience working either as a Medical Receptionist or a Referral Coordinator in a primary care setting is required.

    Education:

    • High School Diploma required.

      PHMC is an Equal Opportunity and E-Verify Employer.

      Qualifications Skills Preferred Effective Communication Advanced Customer Service Advanced Attention to Detail Advanced Education Required High School or better. Experience Required One year of experience working either as a Medical Receptionist or a Referral Coordinator in a primary care setting is required. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
      This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

      Skills Required

      • High school diploma or equivalent
      • One year of experience as a Medical Receptionist or Referral Coordinator in a primary care setting
      • Data entry experience, particularly with a practice management system
      • Knowledge of medical terminology
      • Knowledge of specialist referrals
      • Effective communication skills
      • Customer service skills
      • Spanish-speaking ability
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      The Company
      HQ: Philadelphia, PA
      713 Employees
      Year Founded: 1972

      What We Do

      Public Health Management Corporation (PHMC) is a nonprofit public health institute that builds healthier communities through partnerships with government, foundations, businesses and community-based organizations. It fulfills its mission to improve the health of the community by providing outreach, health promotion, education, research, planning, technical assistance, and direct services. PHMC has served the Greater Philadelphia region since 1972 as a facilitator, developer, intermediary, manager, advocate and innovator in the field of public health. With more than 2,500 employees, 350 programs, a network of subsidiary organizations, 70 locations, sites and close to 350,000 clients served annually, PHMC is one of the largest and most comprehensive public health organizations in the nation

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