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.
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