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Job Details

Referrals Coordinator- The Clinics of Titus

  2025-01-14     Titus Regional Medical Center     Mount Pleasant,TX  
Description:

Job: Referrals Coordinator
Classification: Hourly/Non-Exempt
Job Category: 5 Administrative Support Workers

Position Summary
The Referrals Coordinator facilitates referrals to external specialty offices or services in order to maintain ongoing timely and quality patient care and promotes team awareness and ensure patient safety.

Essential Functions
-Maintains ongoing tracking and appropriate documentation on referrals.
-Ensures complete and accurate demographic and current insurance information during registration.
-Assembles information concerning patient's clinical background and referral needs.
-Provides appropriate clinical information to specialists.
-Contacts review organizations and insurance companies to insure prior approval requirements are met.
-Presents necessary medical history, diagnosis and prognosis information.
-Provides specific medical information to financial services to maximize reimbursement to the hospital and physicians.
-Reviews details and expectations about the referral with patients.
-Assists patients in potential problem solving issues related to the health care system, financial or social barriers
-Acts as system navigator and point of contact to patients and families questions and raising concerns.
-Identifies and utilizes cultural and community resources.
-Establishes and maintains relationships with identified service providers.
-Ensures that referrals are addressed in a timely manner.
-Reminds patients of scheduled appointments via mail or phone.
-Ensures the patient information is up to date on specialist consults, hospitalizations, ER visits and other health related data.
-Adheres to and follows all patient experience initiatives.
-Reports to and departs from work on time and as scheduled.
-Performs other duties as assigned.
-Must be able to deal with stress while maintaining composure.
-Follows and adheres to TRMC vaccine policy(s) mandated by the Centers for Medicare & Medicaid Services (CMS).

Work Experience
-One year in health office management or three years of experience in a healthcare setting preferred.

Education
-High school diploma or equivalent preferred.

Physical Demands and Work Environment
Lifting/Carrying Pushing/Pulling
Lbs. % Time Lbs. % Time
1-10 34-66 1-10 34-66
11-20 0-33 11-20 0-33
21-50 0-33 21-50 0-33
51-75 None 51-75 None
76-100 None 76-100 None

Movement % Time
Bend/Stoop/Twist 0-33
Crouch/Squat 0-33
Kneel/Crawl 0-33
Reach Above Shoulder 0-33
Reach Below Shoulder 0-33
Repetitive Arm 0-33
Repetitive Hand 34-66
Grasping 0-33
Squeezing 0-33
Climb Stairs 0-33
Walking Uneven 0-33
Walking Even 34-66

Environment % Time
Indoors 67-100
Outdoors 0-33
Extreme Heat None
Dusty None
Excessive Noise 0-33

Equipment % Time
Motor Vehicles None
Foot Pedals None
Extreme Heat None
Dusty None
Excessive Noise 0-33

Work near % Time
Machinery None
Electricity None
Sharps 0-33
Chemicals 0-33
Fumes 0-33
Heights None

Vision
Depth Perception Required
< 20" Required
Color Not Required
Peripheral Required

Endurance Hours at Once Total in 12HR
Sit 4 8
Stand 1 2
Walk 1 2


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