Full-Time
Job Not Found
Axess Family Services
No salary listed
Akron, OH, USA
In Person
Category
 Administrative & Executive Assistance (2) |
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Required Skills
Customer Service
Requirements
- General knowledge of the various specialty medical services in the northeast-Ohio area.
- Knowledge of medical terminology
- Excellent organizational skills including oral and written communication skills.
- Ability to work independently; excellent interpersonal skills; basic computer skills.
- Ability to relate to people from a variety of socio-economic and ethnic backgrounds.
- Prior medical office experience required with 1-3 years of related medical office and/or community experience considered.
- Must be self-motivated and organized.
Responsibilities
- Coordinates all referrals to specialist practices and local-regional healthcare services.
- Process referral requests for patients for specialty services and diagnostic imaging.
- Provide appropriate customer service and answer patient inquiries.
- Maintain established tracking system of referrals--both external and internal.
- Provide information and support to medical providers regarding patient referrals.
- Uses sound judgment with patient scheduling efforts and utilization of resources.
- Documents and traces interaction with clients and appointments, assisting with data entry.
- Perform other duties as may be delegated by the Chief Compliance Officer or designee.
- Obtain current identification for managed care, prepare pre-certification as required including patient diagnosis as documented by primary care physician.
- Make appointments and request follow-up information.
- Review and explain process for referral to patient, including but not limited to what to expect, who providers are and how to get to hospital or referral specialist’s office.
- Review rejected requests for procedures or visits.
- Maintain up-to-date knowledge of referral guidelines, active providers, necessary coverage information, insurance requirements necessary for pre-certification.
- Maintain adequate records for risk management on referrals completed of patients needing to be seen outside of API.
- Compile monthly report for administrative review.
- Mail, fax or communicate appropriate records, certificates and authorizations to appropriate persons for the completion of the referral process.