Referral Coordinator

Company: Lancaster General Health
Location: Washington
Posted on: February 26, 2021

Job Description:

Referral Coordinator - ABBCI Apply At Lancaster General Health, our culture is what sets us apart and creates a lasting impression of our health system in the community and in the hearts of our patients and their families. A role with us is more than just a job, we ask that you Live Your Legacy at LGH by finding your passion in your everyday role, committing to those you serve, and reaching for your personal best.We are recognized as 1 of only 9 hospitals in the entire country with awards in Medicare.Gov, LEAPFROG and Healthgrades Americas 50 Best Hospitals. We have attained four-year Magnet -- recognition status for the fourth time with the American Nurses' Credentialing Center (ANCC) and we are the 2018 recipient of the Foster G. McGaw Prize in recognition of the commitment to community service.PENN MEDICINE LANCASTER GENERAL HEALTH--offers a comprehensive benefits package:We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program so that our employees can stay actively engaged and committed to living their legacy every day. Together, we will continue to make medical advances that help people live longer, healthier lives.Join us and be part of a team that empowers you to do more than your job and encourages you to:Live Your Passion. Live Your Best. Live Your Commitment. Live Your Legacy.CompanyLancaster General HospitalCost Center9037 ABBCI Business OfficeSupervisory OrganizationABBCI Cancer Clinic - Back OfficeGradeG07Benefits of Joining Penn Medicine Lancaster General Health: PENN MEDICINE LANCASTER GENERAL HEALTHcombines a Nationally Ranked Hospital with great schools, safe neighborhoods, affordable housing, local community events and festivals as well as a wealth of cultural and recreational activities. The scenic Susquehanna River Valley provides opportunities for fishing, skiing, kayaking, hiking and mountain biking in addition to easy access to NJ shoreline or Delaware beaches. Urban life is easily accessible, with New York, Baltimore, Philadelphia and Washington D.C. a train ride away. Local universities, Fulton Theatre, the downtown shopping and dining district and local sports teams make Lancaster a great place to Live, Work and Play. Summary ATTENTION: Please be aware that, if you are an external applicant, you may need to complete an online assessment as part of the hiring process. This assessment will be sent to the e-mail address that you included in your application. Please note: Some e-mail accounts may receive the assessment e-mail in their junk/spam e-mail. This assessment must be completed within 5 days of receiving it. For more information regarding the assessment, please click HERE . This position is located at Ann B. Barshinger Cancer Institute and is 40 hrs/week between 7:30am-5pm.POSITION SUMMARY: Plans, organizes, directs and coordinates all aspects of the referral office.ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Coordinates and monitors daily work flow processes and activities for meeting required referral/insurance deadlines (within 72 hours/or as directed by provider - e.g., Stat/emergent).
• Daily reviews and monitors referral work que in order to provide accurate and timely referral process documentation.
• Serves as the first-line resource for all customers (internal/external) with regards to Insurance and Referrals. Must be knowledgeable in all areas of insurance verification and authorization/referral processes.
• Maintain accurate and current referral log on all patients.
• Serve as liaison for patient with doctor offices with regards to processing referrals. Communication may be via fax/telephone/electronically.
• Review and analyze managed care patient visits and ensure proper documentation of required services.
• Coordinate internal functions and recordkeeping related to managed care organizations to meet compliance.
• In collaboration with staff in LG Patient Financial Services, ascertain physician credentialing is current and required documentation on file.
• Organizes in-service programs for staff regarding all referral/insurance process changes and updates.
• Liaison between patient and insurance company to explain to patient what their insurance company requires to meet referral/authorization compliance.
• Must have the ability to communicate in a positive, customer service manner when communicating with all customers or when using Department tools (i.e., telephone, fax, email, voice mail, etc.).
• Exhibits teamwork and excellent customer service skills without exception, at all time for both internal and external customers.
• Collaboratively works with internal/external LG staff, other physician offices, and outside agencies, to resolve patient questions and complaints regarding referral/insurance issues. SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:
  • Maintains knowledge of registration and scheduling processes with the capability of filling in as needed based on office workload or staffing demands.
  • As needed, assist Billing Coordinator with assigned tasks.
  • Provide educational sessions to resident physicians and staff.
  • Identifies any system dysfunction or discrepancies and reports to Supervisor/Manager, making recommendations for improving current department and hospital-wide procedures.
  • Assist with other projects or responsibilities as required by Supervisor/Manager.
  • Addresses gaps in care in an attempt to help patients reconcile any remaining health care screenings or surveillances.
  • May outreach--to patients who expresses a desire for a new LGHP PCP to schedule an appointment. Outreaches to patients who have not been seen within the prior 18 months at their LGHP PCP office and schedules patients accordingly to maintain their LGHP relationship.
  • Other duties as assigned.JOB REQUIREMENTSMINIMUM REQUIRED QUALIFICATIONS:
    • High school diploma or certificate
    • One (1) year of computer experience
    • One (1) year clerical or clinical experience in a medical practice setting
    • One (1) year experience in medical referral/insurancePREFERRED QUALIFICATIONS:
      • One (1) year of using medical terminology
      • Basic keyboarding ability and telephone/interpersonal etiquette is required. Successful completion of customer service training module or commensurate experience with successful completion of related competency testing is also requiredDisclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job. It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards. The percentages of time spent performing job duties are estimates, and should not be considered absolute. The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole. Incumbent must be able to perform all job functions safely.Disclaimer PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law. Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH , and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means. CAMPUS Full Time Posted on 02/18/2021 Apply

Keywords: Lancaster General Health, Washington DC , Referral Coordinator , Other , Washington, DC