Job Information
Harbor Health Services - Hyannis Referral Coordinator in Hyannis, Massachusetts
Harbor Health Services is an innovative, growing, mission-based organization that lives, serves & collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, & support services to more than 34,000 patients in Boston, the South Shore, & Cape Cod. Harbor Health also operates two Programs for All-Inclusive Care for the Elderly in Mattapan & Brockton, providing comprehensive healthcare, transportation & social services for more than 450 frail elders who continue to live with dignity & independence in the community & a Woman, Infants & Children (WIC) Nutrition Program. To help further the mission of Harbor, we are looking for an extremely talented Referral Coordinator to join our Team. Role: The Referral Coordinator is responsible for processing patient insurance referrals, consultations, & diagnostic procedures relating to patient care which includes knowledge of insurance companies & their covered services. In addition, the Referral Coordinator will act as a Patient Navigator, contacting patients to provide appointment dates & times as well as any necessary testing needs. Responsibilities: Processes referrals/authorizations using appropriate method provided by insurance companies. Acts as a liaison between insurance & healthcare providers to ensure required referrals have been processed correctly for medical specialty visits. Documents/updates records to ensure all parties have accurate information. Communicates with patients to ensure follow-through with referrals or other care related needs. Supports care team & patients in synchronizing care with specialist & diagnostics offices. Communicates with specialist offices to ensure medical records are received back in a timely manner. Accurately charts all information in EHR/EMR. Functions as a resource for patients around managed care plans, insurance & referral issues, with an ability to perform electronic insurance verification. Schedules appointments, makes follow up calls & documents appointments; faxes referral information to physician offices & diagnostics centers. Answers phone calls, takes messages & responds to routine patient, physician & client inquiries. Provides support & information to patients & providers to problem solve & manage complex administrative issues. Maintains satisfactory productivity rates & ensures the timeliness of claims reimbursement while maintaining work queue goals. Ensures that the orders are processed within the department?s service levels. Requirements: High School diploma or GED 2 years of experience working in a professional healthcare environment Understanding of HMO, Managed Care, & other Third-Party Insurers Knowledge of multiple on-line registration insurances websites Electronic Medical Records & Electronic Practice Management experience, EPIC/OCHIN desired Knowledge of Medical Terminology required Excellent verbal & written communication & customer service skills. Intermediate computer literacy with Microsoft Office applications: Word, Outlook, Excel Excellent office machinery skills: faxing, scanning, copying & use of phone system Ability to work independently & as part of a team Ability to prioritize & execute a variety of tasks within a short period of time & work under stressful conditions Must be able to articulate & communicate clearly in English. Bilingual English/Vietnamese/Portuguese or Spanish highly desired. Position will be hybrid with 3 days on-site work required at the Harbor Community Health Center-Hyannis.