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Company: MedStar Medical Group
Location: Colmar Manor, MD
Career Level: Entry Level
Industries: Not specified
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Description

Engages in inpatient referral activities for assigned medical offices. Ensures accuracy and effectively manages patient referrals for specialty care and/or medical tests. Develops effective referral processes to ensure a high level of service and patient satisfaction.
Education

  • High School Diploma or GED required
Experience
  • 1-2 years 2 years experience in a medical office or ambulatory health setting performing billing, referrals or related administrative tasks
Licenses and Certifications
  • No special certification, registration or licensure required
Knowledge, Skills, and Abilities
  • Requires effective verbal and written communication skills.
  • Must possess basic computer skills including working knowledge and proficiency in the use of Microsoft Office, database systems, electronic health records, and patient scheduling systems.
  • Must be familiar with medical terminology normally demonstrated through medical terminology course completion.
  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
  • Coordinates all medical referrals from practice physicians to specialists. Maintains referral log/referral tracking system and distributes to the appropriate provider and/or department. Enters and tracks referral data in the system.
  • Identifies and expedites urgent care situations by handling hospital admission forms, transmitting information to appropriate agencies, and coordinating administrative functions.
  • Maintains records and provides patient outreach for missed appointments.
  • Maintains referral log and tracking system and distributes to the appropriate provider and/or department.
  • Obtains authorizations from insurance carriers, when required.
  • Schedules follow-up/referral appointments and completes requisitions for tests. Schedules pre-op visits. Keeps patient informed.
  • Transmits requests/forms to payors, specialists, and patients as needed.
  • Answers incoming calls in a professional manner and providers back up to the front desk as needed or assigned.
  • Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.


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