Referral Coordinator

Cardiovascular Institute Referral Coordinator

The Cardiovascular Institute is looking for a new Referral Coordinator to join their collaborative team. This employee will be working alongside 14 team members to complete authorizations.

It is preferred that this applicant has previous experience with authorizations.

This position will work in office for at least 6 months depending on training, will then transition to work from home after training is completed.

Schedule : Monday Friday from 8 : 00 a.m. 4 : 30 p.m., no weekends or holidays!

Purpose : 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.
• Coordinates 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.

High School diploma required. Previous authorization experience is preferred.

Additional training as a medical secretary or licensed practical nurse and knowledge of basic medical terminology is preferred.

Four years of experience working in a health care environment preferred or an equivalent combination of education and experience.

Strong interpersonal and communication skills, and computer literacy / data entry skills are required.

High level of independence required in problem solving activities.

Strong organizational skills that will generate efficiency & effectiveness.

Adaptable to change. Ability to handle multiple tasks in a fast-paced environment & function independently and be ability to prioritize referrals.

Ability to analyze issues objectively & provide workable solutions & implement those actions.

Team player, flexible, and adaptable to change

Licensure, Certifications, and Clearances :

UPMC is an Equal Opportunity Employer / Disability / Veteran