DescriptionPenn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?Summary:
Position Summary: The Referral Coordinator is responsible for coordinating specialty care and testing for patients in need of external consultations and diagnostic imaging as requested by the Primary Care Physician. This includes but is not limited to obtaining authorizations from insurance and scheduling with External Providers. Ensures compliance with hospital policies, billing guidelines, and payer policies.
Qualified individuals must have the ability with or without reasonable accommodation to perform the following duties:
Serves as first-line resource for all customers internal external with regards to referrals. Must have a basic understanding of the referral process.
Completes 2 of the following Job Functions:
Obtain insurance referrals and authorizations for diagnostic testing and procedures; communicate with referrring physicians for peer to peer and denials follow up. Will be required to maintain a working knowledge of Insurance verification and authorization.
Process patient referrals to specialty providers by preparing medical records and providing appropriate clinical information to the specialist. Communicating appointment information and expectations with patients in a timely manner. Complete outreach to obtain consult notes for completed appointments.
Working knowledge of diagnostic imaging scheduling, cancelling and rescheduling process in EPIC. Completes outreach to patients and schedules imaging appointments in EPIC; reviews details and expecatations with the patients for their upcoming appointments. Provide follow up phone calls once consult appointments have been scheduled to notify patients of appointments; as well as outreach to obtain consult notes for completed appointments
Maintain appropriate and accurate documentation.
Adheres to team standards and work flows
Attempts to understand patients needs and offers guidance and resolution of issues through collaboration with team members and outside departments.
Demonstrates excellent “over the phone” patient relations skills, e.g. smiles, cheerfully greets patients, and engages all patients in a genuine, warm, and caring manner.
Maintains regular consistent attendance, personal appearance, punctuality, and adherence to applicable health and safety procedures.
The following duties are considered secondary to the primary duties listed above:
Identifies work processes that can be improved upon, eliminated, or handled through electronic processes and escalates to leadership.
Basic knowledge of Family Medicine Practices, purpose and operations.
Basic medical terminology.
Knowledge of various insurance plans such as Medicaid, Medicare and Commercial insurances.
Ability to work efficiently and comfortably with all levels of staff.
Performs other related duties as assigned.
Responsibilities:
Minimum Required Qualifications:
High school diploma or certificate
One 1 year experience in a healthcare setting
One 1 year experience in customer service related field
Preferred Qualifications:
One 1 year of using medical terminology
One 1 year experience in medical referral insurance
We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.Live Your Life's WorkWe are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.REQNUMBER: 249992
