Pittsburgh, PA, 15222, USA
9 hours ago
Referral Coordinator
**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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