Referral Coordinator

Swope Health Services; Kansas City (MO); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Medical benefits (including Health SAV

401(k) retirement plan with company"

Life insurance

Short- and Long-Term Disability

Flexible Spending Account

Paid time off

Company-paid holidays

Job summary

Swope Health Services is hiring a Referral Coordinator to manage referrals to outside departments. You will verify information, collect authorizations, and coordinate with providers and patients to ensure timely appointments. Strong data entry and communication skills are essential.

Experience in medical office settings is preferred, with BLS certification optional. The role emphasizes accurate documentation in the eCW system and collaboration across care teams to support coordinated patient

Qualifications

• High School diploma or equivalent required.
• Medical Assistant program from an accredited school preferred.
• Experience in a medical office preferred (1 year).
• Basic Life Support (BLS) certification preferred.
• Excellent communication and customer service skills; ability to interact with staff, patients and providers.

Responsibilities

• Process and track referrals to outside PCMH/ancillary services.
• Ensure all referral information and forms are complete for processing.
• Enter necessary data including insurance and authorization codes.
• Contact providers to confirm acceptance and obtain the contact name.
• Inform patients about referrals, appointment times, and reschedule instructions.
• Document referral activity in the eCW system with dates, times, and contacts.
• Monitor referrals to ensure follow-up and notify if appointments are not kept.
• Acquire documentation from specialists via Health Information Exchange portals or faxes.

Skills

Communication skills

Customer service

Telephone etiquette

Documentation in eCW

Education

High School or better

Medical Assistant program (preferred)

Job description

As the Referral Coordinator for Swope Health Services, you will be a part of a team of caregivers that provide care to the people who need it the most. The Referral Coordinatorprocesses and tracks referrals to outside PCMH department ThePCMH emphasizes a team-based approach to health care delivery. This is accomplished by delivering proactive, planned and coordinated evidence-based care. The Referral Coordinator will accomplish this by their primary function of processing and tracking of referrals to outside ancillary services.

Primary Functions:

• Ensure the provider has completed all of the necessary information needed to process the referral. Including any forms the specialist may require to be sent in with the referral.
• Enter all of the necessary information to complete the referral including a) Insurance, B) Authorization Code (if the referral requires prior authorization from the insurance company),
• Call the Provider/Specialty where the patient is being referred to:
  a. Confirm they are able to accept this patient based on referral & insurance
  b.Let them know you are sending a referral and obtain the name of the person you spoke with.
  c.Ensure the specialist calls the patient with their appointment and instructions
  d.Send all of the referral information.
  e.Also ask the Specialist to please make sure they send a notification if the appointment is not kept.
  f.Also to automatically send all documentation/reports from the visit.
• Contact the patient to inform them of the referral including: name, address and telephone number and other specific instructions regarding the appointment. Give instructions regarding rescheduled appointments.
• Document the following in the referral section in eCW: Appointment Date and Time if known; under the Notes Section Tab: Date/Time/Person you spoke with at the Specialist Office, Date/Time Referral was sent; Date/Time when you spoke with the patient to advise them of the referral & appointment time. You must document if the specialist is going to call the patient personally to set up the appointment. If any calls come in from the Specialist office or from the patient you must add additional notes in this section.
• The Referral will be marked Pending – after all of the above has been completed and documented.
  The Referral Coordinator will then track the referrals on the schedule defined by Swope Health Policies and procedures. :
  All interactions with patient or referring entity need to be documented in the Notes section of the the Referral.
• Referral coordinator to acquire documentation from specialist/consultant through the use of HIE( Health information exchange portals) or through faxes.
• The documentation will then be sent to the referring provider to review the documents.

Successful Candidate Will Have :

• High school Diploma or equivalent required.
• Graduation from a Medical Assistant program preferred.
• Experience working in a medical office, 1 year preferred.
• Basic Life Support (BLS), certified preferred.
• Excellent communication skills, customer service oriented, telephone etiquette and exhibit the ability to work with people (staff, visitors and clients).

About Swope Health Services:

Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community.

Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.

Swope Health Services supports its team members with:

• Medical benefits (including a Health Savings Account option), dental and vision
• 401(k) retirement plan with company match
• Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
• Flexible Spending Account
• Paid Days Off beginning at 12 days annually, effective the first day of employment
• Eight annual company-paid holidays; One annual paid personal day

Swope Health is an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status or disability.

Qualifications

Education

Required

High School or better.

Equal Opportunity Employer
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.