Referral Coordinator - UPMC Carlisle Cardiology

UPMC; Carlisle (Cumberland County); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading healthcare provider is seeking a Referral Coordinator to serve as the primary point of contact within the Patient Access Center. This role requires excellent customer service skills to facilitate communication with various healthcare stakeholders and coordinate patient referrals effectively.

Qualifications

• Experience in customer service and healthcare settings.
• Knowledge of insurance requirements and EMR systems.

Responsibilities

• Manages inbound calls and coordinates referrals for home health services.
• Records insurance information accurately in EMR.

Skills

Customer service skills

Communication

Problem-solving

Job description

Purpose:
The Referral Coordinator serves as the primary customer service contact within Patient Access Center. Ensures effective communication between Patient Access Center staff and referring physicians, acute care hospitals, skilled nursing facilities, patients, families, Agency staff, Liaisons, and other referral sources. Coordinates and/or facilitates referrals to the correct UPMC service providers or departments. Utilizes and promotes use of excellent customer service skills.

Responsibilities:

• Provides the primary referral and inquiry customer service presence for the Agency's services.
• Manages all incoming calls to the Patient Access Center based on the type of call, problem solve, transfer or coordinate referral as appropriate and on a timely basis.
• Initiates required referral documentation in the EMR from all referral sources and assigns to the appropriate next person in the referral management process.
• Coordinate referrals for home health and hospice service lines.
• Accurately records and data enters insurance/authorization information per EMR requirements; Demonstrates a working knowledge of insurances.
• Coordinates with Business Development, other intake staff, and referral sources regarding missing or incomplete referral information.
• Appropriately utilizes Supervisor for outliers, problems, or difficulties
• Maintain standards of excellence verbally and in written form with customers both internally and externally.
• Maintain open and positive communications with all contacts.