Referral Coordinator

RPMGlobal; Portland (OR); On-site; USD 30,000 - 39,000; Full time

Benefits offered by this job

401k with company match

Roth IRA

Medical, Dental, Vision

Flexible Spending Account

Health Savings Account

Life/AD&D insurance

Voluntary benefits

Identity theft protection

Pet insurance

Paid PTO

Wellness day

Holidays

Employee Assistance Program

Job summary

The Portland Clinic in Portland, OR is seeking a Referral Coordinator to process referrals, assist registration and nursing staff, and provide clear instructions to employees, physicians, patients, and insurers. This is a 40-hour, non-exempt, Monday–Friday role in Access Services.

You will manage referrals through workqueues, verify benefits, enter data in the EHR promptly, participate in departmental meetings, and help the team meet monthly goals while maintaining courteous, professional

Qualifications

• High school diploma or equivalent is required.
• Experience in managed care is preferred.
• Excellent phone etiquette and communication skills are essential.
• Ability to prioritize and multitask under pressure.

Responsibilities

• Answer phones and provide excellent customer service to patients, providers, insurers, and staff.
• Assist registration and nursing staff in need of immediate support.
• Process referrals and verify benefits; enter referrals in EHR promptly.
• Register patients where needed and input billing information.
• Assist in orientation of new staff regarding referrals.
• Attend department meetings and take minutes as necessary.
• Meet monthly department goals and be a cooperative team member.

Skills

Managed care

10-key by touch

Team player

Compassionate

Phone etiquette

EHR competency

Medical software

Microsoft Windows

Education

High School Diploma

Tools

EHR software

Microsoft Windows

Job description

At The Portland Clinic our mission is to be a trusted community collaborating to improve the health and well-being of those we serve. Join our team and let us work together to offer a welcoming, inclusive environment for our patients and the communities we serve.

JOB TITLE: Referral Coordinator

SUPERVISOR: Referrals Supervisor

HOURS PER WEEK: 40/Non-Exempt (Monday - Friday 8:00am - 5:00pm)

DEPARTMENT: Access Services

HIRING BONUS: $1,000 after 90 days

The following information is designed to outline the essential functions and position requirements of this job. It does not identify all tasks that may be expected, nor address the performance standards that must be maintained.

PRIMARY FUNCTION: To process referrals and to provide employees, physicians and patients with instructions/clarification as necessary.

DUTIES AND RESPONSIBILITIES: (*ESSENTIAL FUNCTIONS)

1. Answer phones, provide excellent customer service to patients, providers, insurance companies, and staff.*
2. Assist registration and nursing staff in need of immediate support.*
3. Process referrals and orders for all accepted insurance plans: monitor and track referrals through assigned workqueues, verify benefits, call in referrals to insurance companies, enter referrals in Electronic Health Record (EHR) in a timely manner, and produce denial letters.*
4. Register patients where needed, including collecting and inputting patient billing information.
5. Assist in orientation of new staff regarding referrals.
6. Process and participate in referral department meetings, volunteering agenda items and taking minutes as necessary.*
7. Attend on-site and off-site meetings as requested by supervisor.
8. Meet all monthly department goals. *
9. Participate as an active team member in a patient-centered medical home.
10. Employees will not be discourteous or disrespectful to a customer or any member of the public while in the course and scope of company business.*
11. Work in a cooperative manner with management/supervision, coworkers, customers and vendors.*
12. Abide by company policies.*
13. Maintain regular, in person, work attendance and punctuality, as scheduled.*
14. Other duties as assigned.

REQUIREMENTS:

• High School Diploma or equivalent

EXPERIENCE/QUALIFICATIONS/SKILLS PREFERRED:

• Previous experience in managed care
• 10 Key by touch
• Values team success
• Compassionate, patient, tactful, diplomatic, sociable, well organized, thorough, and independent
• Shows an interest in taking action to increase his/her knowledge and development as an employee
• Contributes to an environment where people feel valued
• Keyboarding skills
• Electronic Health Record competency
• Proficiency in medical software and Microsoft Windows
• Organizational skills and ability to prioritize work flow
• Oral communication skills and excellent phone etiquette with an ability to convey and receive information via the telephone
• Competency in language, grammar, and spelling
• Ability to interact and establish a good rapport with people over the telephone and in person, often in stressful situations
• Capability of effectively working on more than one task without a reduction in the quality of work and service performed
• Ability to react calmly and effectively in emergency situations and to work under pressure
• Ability to accept responsibility and use initiative to proceed with necessary tasks without direct supervision
• Skill in establishing and maintaining effective working relationships with patients and staff

COMPENSATION AND BENEFITS (Benefits eligibility begins at 20hrs/wk):

• 401k plan with employer contributions up to 5% annually
• Roth IRA
• Comprehensive Medical, Dental and Vision insurance
• Flexible Spending Account
• Health Savings Account
• Company provided $10K Group Life/AD&D insurance
• Voluntary benefits: Life/AD&D, Dependent Life/AD&D, Short-Term Disability, Critical Illness, Accident, and Hospital Indemnity
• Norton Identity Theft Protection (optional)
• Pet Insurance (optional)
• 4.92 hours of PTO accrual per pay period (PTO accrual is prorated based upon FTE)
• One paid Wellness day per year
• Seven paid holidays, and 1 partially paid holiday (mid-day closure)
• Employee Assistant Program