Job Title: Referral Specialist- Lead
Department: Oncology Administration
Location: SLH - CPH Main (40), Care,50 Leroy Street,Potsdam, NY 13676
United States of America
Hours Per Week: 37.5
Schedule: Full-Time, Day Shift, Monday- Friday, 8 am to 4 pm
Position Summary:
The Oncology Referral Specialist-Lead is responsible for providing exceptional customer service and care to all patients and is responsible for the coordination of patient care and administrative tasks. The Specialty Patient Care Coordinator has administrative responsibilities including patient greeting, check-in, answering phones, triaging phone calls, scanning, complex scheduling and coordination for exams and procedures and regularly communicating with clinicians and office staff. The specialty patient care coordinator also prepares and maintains patient charts, obtains results not otherwise found in the electronic record, and obtains pre-certifications and authorizations for patients care. Communicating in a calm and professional manner is a necessity
Key Responsibilities:
Through mentoring, coaching and positive reinforcement, provides leadership/direction and assists a supervisor/manager in facilitating the workflow for a team of specialty coordinators, to ensure duties are completed timely and accurately while meeting regulatory standards.
Orient new team members and provide orientation feedback to team member and manager
Under the direction of a supervisor/manager, may assist with personnel duties such as orientation, training, and providing feedback for performance evaluations.
Provide telephone and in person screening and initial contact with referral sources and potential patients.
Coordinates the intake and referral process, determines priority needs for assessment
Provides coordination of testing to be performed with physician, patient, facility and payer. This includes reviewing medical documents for clarity, ensuring all necessary clinical steps have been taken; works with necessary parties to obtain third-party approval
Obtains all procedure and diagnosis codes to properly authorize/pre-certify ordered testing.
Refers self-pay and out-of-network patients to the appropriate resource to help with payment.
Complete pre-certification/authorization with the patient’s insurance company providing any necessary documentation.
Document authorization/pre-certification once received along with contact information of the person spoken with.
Contacts the patients and notifies them of the scheduled procedure and all necessary instructions.
Actively monitor the attendance of and follow-up of referred appointments
Monitor statistics and volume of patients testing and physician appointments
May assist manager with other responsibilities as assigned
Desired Attributes:
• Associate’s Degree in a related field
• Medical reception or secretarial work experience in a specialty practice
• Experience leading a group of employees
• Excellent communication and interpersonal skills
• Problem solving and critical thinking skills
• Ability to undertake a variety of diverse tasks and work in a multidisciplinary team
• Ability to think and work independently and with direction, and communicate with staff members in a fast-paced environment.
Minimum Qualifications:
• Five years of experience in a healthcare setting
Required Licensure/Certification:
NA
Equal Opportunity Employer
Rochester Regional Health is an Equal Opportunity / Affirmative Action Employer.
Minority / Female / Disability / Veteran
EDUCATION:
LICENSES / CERTIFICATIONS:
PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.
Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
PAY RANGE:
$20.00 - $25.00
Potsdam
13676
The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.
Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.