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Referral Specialist Job at Cornerstone Care Inc

Cornerstone Care Inc Rogersville, PA 15359

ESSENTIAL DUTIES Schedule, problem solve, communicate, and coordinate referral appointments with outside specialists and follow up with the appropriate provider. Maintain an accurate record of external referral patients appointments. Answer, respond, and document phone calls, requests, and questions from patients in a timely manner. MINIMUM REQUIREMENTS o Must be a High School Graduate or equivalent o Understanding of Medical Terminology preferred o Must have transportation o Current Act 33, Act 34, and Act 114 clearances, if applicable.

RESPONSIBILITIES 1. Responsible for scheduling appointments and handling referrals for patients per providers request to outside physicians hospitals, clinics, radiology department, PT, radiation, pain centers, back institutes, and Home Care, etc. 3. Responsible for in-house referral testings with contracted facilities and specialists.

4. Responsible for completing referrals for: a. Highmark-BCBS-including PPO, Select Blue, Security Blue and Keystone. b.

Health America/Health Assurance, CCPPO, PPO & Advanta c. Medicare d. Self-Pay e. Private insurances f.

Health Choices, Medical Assistance HMO, Best, Gateway, Unison g. Healthy Woman h. United Health Care i. Miscellaneous as appropriate 5.

Handles emergency and urgent referrals when requested. 6. Maintains appropriate logs in conjunction with Electronic Health Records (EHR) for all referrals for each provider. Receives all test reports and letters from specialist and puts them in the appropriate provider bins.

Alerts the provider of any urgent reports. If a specialist notifies us that a patient is a no show for an appointment the ordering provider is notified. 7. Contact patients with information regarding referrals and specific instructions given to patient at this time.

8. Responsible for sending out a copy of referral policy to those patients that are not compliant. Refer to copy in the policy manual . 9.

Communicates with all provider relations representatives and contact with concerns, questions, problems. or needs through the Electronic Health Record. 10. Documents referrals in appropriate area on patients medical records per Referral Protocol.

11. Documents needed testing or follow up such as mammogram, in future months. Contacts patients, schedules appointments, completes referrals weeks in advance. 18.

Tracks diagnostic tests and reports per protocol. 19. Performs any other duties assigned or delegated by the Practice Manager. 20.

Abides by the policies and procedures of Cornerstone Care, Inc. Cornerstone Care is a Non-Profit, Federally Qualified Health Center with nine locations and a mobile unit, serving communities throughout Southwestern Pennsylvania, and Northern West Virginia. Our mission is to improve the health of our patients and all the residents of the communities we serve, with special concern for the medically underserved and low-income populations


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