Referral Coordinator
UPMC
**UPMC Family Hospice & Palliative Care is hiring a full-time Referral Coordinator for our team working Monday-Friday from 8:30 AM-5:00 PM. This position will be fully remote following a REQUIRED in-person orientation period in Seven Fields, PA. A minimum of one weekend day is required every six weeks!**
**Responsibilities:**
+ Maintain standards of excellence verbally and in written form with customers both internally and externally.
+ Provide support/coverage/job sharing for call off, request off, and lunch breaks.
+ Ensure that information provided by callers/referral sources is accurate and complete.
+ Give necessary attention to accuracy and detail.
+ Coordinate referrals for HME/RT for our network and non-network providers.
+ Communicate potential areas of concern to the servicing provider and follow up as necessary.
+ Maintain logs and file documents by departmental policy.
+ Assist management with special projects in a reasonable and timely manner.
+ Give high priority to patient/customer satisfaction.
+ Utilize appropriate network/staff to assist in obtaining answers that require guidance.
+ Act as an advocate for the patient/customer.
+ Enter data accurately and update the appropriate referral database(s), including documentation of calls, faxes, etc.
+ Answer incoming telephone inquiries: based on the type of call, problem solve, transfer, or coordinate referral as appropriate and on a timely basis.
+ Identify issues and concerns that customers may have and assist in resolution.
+ Maintain open and positive communications with all contacts.
+ Interface with referral source, patient/family, and provider to assure timely delivery.
+ Produce administrative reports as required.
+ Provides the primary referral and inquiry customer service presence for the Agency's services.
+ Manages all incoming calls to the Patient Access Center based on the type of call, problem solves, transfers or coordinates referral as appropriate and on a timely basis.
+ Initiates required referral documentation in the EMR from all referral sources and assigns to the appropriate next person in the referral management process.
+ Coordinate referrals for home health and hospice service lines.
+ Accurately records and enters insurance/authorization information per EMR requirements; Demonstrates a working knowledge of insurances.
+ Coordinates with Business Development, other intake staff, and referral sources regarding missing or incomplete referral information.
+ Appropriately utilizes the Supervisor for outliers, problems, or difficulties
+ Maintain standards of excellence verbally and in written form with customers both internally and externally.
+ Maintain open and positive communications with all contacts.
+ High School diploma required.
+ Additional training as a medical secretary or licensed practical nurse and knowledge of basic medical terminology is preferred.
+ Four years of experience working in a health care environment preferred or an equivalent combination of education and experience. **Licensure, Certifications, and Clearances:**
+ Act 34
**UPMC is an Equal Opportunity Employer/Disability/Veteran**
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