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Added 3 hours ago
Benefits and Payroll Administrator
Encompass Medical Group
Lenexa, KS
Added 3 hours ago
Referral Coordinator
Encompass Medical Group
Lenexa, KS
Added 5 days ago
Receptionist - $500 SIGN-ON BONUS!!
Encompass Medical Group
Grandview, MO
Added 11 days ago
Receptionist - $500 SIGN-ON BONUS!!
Encompass Medical Group
Kansas City, MO
Added 19 days ago
Certified Medical Assistant - $500 SIGN-ON BONUS!!!
Encompass Medical Group
Lee's Summit, MO
Maintenance of an active Medical Assistant certification required from a nationally recognized organization
Added 1 month ago
Certified Medical Assistant - $500 SIGN-ON BONUS!!!
Encompass Medical Group
Independence, MO
Maintenance of an active Medical Assistant certification required from a nationally recognized organization
Added 1 month ago
Nurse Practitioner
Encompass Medical Group
Grandview, MO
Added 1 month ago
Medical Billing Payment Poster - $500 SIGN-ON BONUS!
Encompass Medical Group
Lenexa, KS
Added 1 month ago
Radiographer - $500 SIGN-ON BONUS!!
Encompass Medical Group
Grandview, MO
Added 1 month ago
Certified Medical Assistant - $500 SIGN-ON BONUS!!!
Encompass Medical Group
Lee's Summit, MO
Maintenance of an active Medical Assistant certification required from a nationally recognized organization
Added 1 month ago
PRN Radiographer - $500 SIGN-ON BONUS!!
Encompass Medical Group
Grandview, MO
Added 1 month ago
Ultrasound Technologist - $1,500 SIGN-ON BONUS!!
Encompass Medical Group
Kansas City, MO
Added 1 month ago
Limited Scope Radiographer (MA Certified) - $500 SIGN-ON BONUS!!
Encompass Medical Group
Lee's Summit, MO
Added 1 month ago
Certified Medical Assistant - $500 SIGN-ON BONUS!!!
Encompass Medical Group
Lenexa, KS
Maintenance of an active Medical Assistant certification required from a nationally recognized organization
Added 1 month ago
Certified Medical Assistant - $500 SIGN-ON BONUS!!!
Encompass Medical Group
Kansas City, MO
Maintenance of an active Medical Assistant certification required from a nationally recognized organization
Added 1 month ago
Supervisor of Clinical Services (LPN/RN)
Encompass Medical Group
Lee's Summit, MO
RN/LPN license required
Added 1 month ago
Supervisor of Clinical Services
Encompass Medical Group
Kansas City, MO
RN/LPN license required
Added 1 month ago
Lab Assistant - $500 SIGN-ON BONUS!!
Encompass Medical Group
Grandview, MO
Maintenance of an active phlebotomy certification required from a nationally recognized organization
Added 1 month ago
Receptionist - $500 SIGN-ON BONUS!!
Encompass Medical Group
Kansas City, MO
Added 1 month ago
Lab Assistant - $500 SIGN-ON BONUS!!
Encompass Medical Group
Independence, MO
Maintenance of an active phlebotomy certification required from a nationally recognized organization

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Encompass Medical Group

Referral Coordinator

Lenexa, KS, United States

Apply on workforcenow.adp.com About employer

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Job details

Posting language: English

Original job description

Position Summary:

This position is responsible for all aspects of pre-certification, pre-authorization, and any and all other specialty referrals for patients, as well as for organizing and prioritizing daily workflow in order to maintain efficient patient flow throughout the office. Must be able to interact with physicians, receptionists and ancillary services in a courteous and professional manner.

Position Accountabilities:

Follow up on any specialty/provider which has not sent summaries/reports to office within the identified standard
Ensure complete and accurate registration, including patient demographics and current insurance information
Assemble information concerning patients clinical background and referral needs.
Contact insurance companies and organizations to ensure prior approval requirements are met
Present necessary medical information history, diagnosis and prognosis
Provide specific medical information to financial services to maximize reimbursement to companies/organizations and physicians
Review details and expectations regarding referral with patients
Assist patients in problem solving potential issues related to health care system, financial or social barriers (i.e. request interpreters as appropriate, transportation services)
Point of contact for patients with questions and concerns
Assume advocate role on patient’s behalf with carrier to ensure approval of necessary supplies/services in a timely fashion
Identify and utilize cultural and community resources
Establish and maintain relationships with service providers
Ensure referrals are addressed in a timely fashion in accordance with organizational processes
Remind patients of scheduled appointments via phone, voice mail, or mail
Ensure patient’s primary care chart is updated with information on patient consults, hospitalizations, ER visits, and community organization related to their health care
Coordinate care with outside consultants for additional patient care
Obtainment and maintenance of Basic Cardiac Life Support Certification preferred but not required
Provides assistance in other areas as assigned by the Clinical Coordinator and/or Medical Office Manager
Performs other duties as assigned
Works with the physicians in the office to ensure that all necessary documentation is in order to facilitate patient specialty and hospital referrals
Verifies patient insurance information to determine patient responsibility
Assists patients with social determinant needs, as needed
If credentialed, performs transition of care communications with patients
Care management activities to include pre-visit planning, order creation based on care gaps
Patient outreach based on care gaps
Assists with general incoming phone calls and scheduling
Monitors uncompleted orders and referrals to ensure patient compliance
Maintains patient confidentiality

Job Specifications:

Minimum Education

High School Graduate or equivalent; medical terminology

Minimum Experience

Previous receptionist or customer service skills required
Previous working experience in a medical setting environment required
Previous referral coordination experience preferred, but not required
Knowledge of medical field terminology preferred, but not required
Prior office/clerical experience preferred, but not required
Any equivalent combination of experience and training which provides the required knowledge, skills and abilities

Skills – Administrative

Good phone and voicemail etiquette
Strong computer skills
Excellent typing, writing, and spelling skills
Ability to communicate effectively with office personnel and the public
Ability to work with minimum of supervision

Working Conditions/Physical Demands

Sitting, standing, stooping
High volume of keyboard use
Regular, climate-controlled office environment

Travel may be required to support the necessary coverage for other clinics.

Apply on workforcenow.adp.com About employer

More about this job

Skills

Prioritization
Workflow
Problem solving
Health care system
Primary care
Coordinate care
Patient care
Documentation
Scheduling
Regulatory compliance
Confidentiality
Medical terminology
Customer service
Computer skills

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