Referral Coordinator I

Job Description

Job Description

Position : Referral Coordinator I

Under the supervision of the Health Information and Referrals Manager (HIRM), the Referral Coordinator I provide a single point of contact supporting providers in all clinics with scheduling of outside specialist referrals. The role requires detailed and accurate data entry into various electronic systems accompanied by all necessary internal and external communication such as coordinating with external specialists / vendors offices, other CEI departments and facilitating transportation to assure an efficient, appropriate and timely external specialist visit.

The hourly range for the Referral Coordinator I position at Center for Elders Independence is $22.28 to $33.43 per hour.  Hourly based on the market for the Referral Coordinator I position as well as experience, skills, abilities and work history

General Duties and Responsibilities :

• Receives and processes referrals, ensuring timely coordination with participants, their caregivers and the interdisciplinary team.
• Collaborates with external specialist / vendor offices to secure appropriate appointment dates / times and facilitates the transmission of necessary information.
• Maintains awareness of CEI contracted provider networks in collaboration with the Contracts department.
• Documents and maintains accurate records of appointment dates / times and referral tracking in the electronic health record and related systems.
• Utilizes finance system to obtain referral authorization numbers, enters them into referral and alerts vendor for claims processing.
• Collaborates with Health Information Coordinator (HIC) to assure clinical information is available and delivered to external specialists as required.
• Confirms appointments by ensuring all necessary arrangements (transportation, escort, interpreter, etc.) are in place to facilitate successful appointment completion.
• Demonstrates effective communication when addressing team members and participant concerns by demonstrating effective problem-solving skills and escalating complex issues to HIRM when necessary.
• Participate in department meetings and contributes to discussions aimed at improving referral processes and service delivery.
• Attend clinic meetings to review participant appointment needs and prioritize urgent appointments.
• Demonstrates dependability by arriving consistently and on time to scheduled work hours and submitting timely and accurate timesheets.
• Display a willingness and ability to be responsive to all customer groups, including team members, participants and their families.
• Follows all agency policies and procedures and training requirements.
• Participates in Quality Improvement program as required.
• Maintain the confidentiality of all participant information according to HIPAA requirements
• Performs other duties as assigned in a positive and helpful manner.

Qualifications :

The above job description is intended to communicate the general function of the mentioned position and by no means shall be considered an exhaustive or complete outline of the specific tasks and functions that will be required. CEI reserves the right to change job descriptions, location assignments, and or work hours as required by the needs of the program. All employees are expected to perform their duties within their ability as required by the job and / or as requested by management.

Center for Elders’ Independence is a PACE (Program of All- Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high quality, affordable, integrated health care services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life and the ability of individuals to live in their communities. Unlike other healthcare plans, CEI is not a "fee-for-service" plan. It is a “capitation” healthcare plan. CEI is paid a set amount for each person enrolled in our program, whether or not that individual seeks care. We are a growing company that offers stability and continues to thrive.