Page Header

Careers

Referral Coordinator

Description

REFERRAL COORDINATOR

Locations: Talbott, TN

SUMMARY: Complete referrals to specialists to ensure the highest level of care necessary to address their medical needs when that need exceeds the scope of our care by utilizing a team-based model.

RESPONSIBILITIES

The following duties are normal for this job. These are not to be construed as exclusive or all-inclusive. Other duties may be required and assigned.

  • Conducts all communication with patients in a courteous and professional manner.
  • Prepares all pre-authorizations and pre-certifications for TennCare MCO referrals to specialists based on the direction of the medical provider.
  • Prepare all re-authorizations and pre-certifications for all commercial HMO, PPO and Medicare patients.
  • Schedules all patient appointments with the specialists and notifies the patient with date, time and directions.
  • Documents/files referral information in the patient chart.
  • Input authorization numbers/pre-certification numbers into the data system.
  • Maintains patient tracking logs of referrals, specialists, appointments.
  • Advise patients of pertinent clinic programs for which they may apply.
  • Provides patients information regarding social service agencies.
  • Request and releases confidential information according to established guidelines on confidentiality.
  • Participates in Quality Improvement (QI), Quality Assurance (QA) and Continuous Quality Improvement Activities (CQI) as appropriate.
  • Other duties as assigned.

QUALIFICATIONS

Education & Experience:

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience. Prior medical experience as a medical assistant, certified nursing assistant, and LPN preferred.

Communication Skills:

Must possess the ability to communicate verbally and non-verbally with clients, coworkers, and members of management. Excellent professional customer service skills required

Bilingual-Spanish speaking preferred, but not required.

Computer Skills:

To perform this job successfully, an individual should have knowledge of Word Processing software and Electronic Medical Records software.

This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

Cherokee Health Systems provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, gender identity, sexual orientation, or genetics.

Apply Now