Job description

Job Summary
Serves as liaison between patients and providers to schedule diagnostic tests and specialty consultations at outside organizations (prior authorization as needed) and in-house specialty appointments. Obtains date of service and follows up with visit results. Assists patients with tracking referral status in the electronic system. Works collaboratively with Member Services and Care Coordination departments. Office responsibilities include data entry and coordination of mailings. Collaborates with satellite and specialty offices in processing referrals.
Position Description
REFERRAL COORDINATOR:

• Knowledgeably articulates insurance limitations to patients.
• Tracks referral status in the electronic system and ensures documentation of referral visits is available for PCP follow-up or upon request.
• Schedules diagnostic tests and specialty consultations at outside organizations.
• Assists patients with scheduling in-house specialty appointments.
• Assists patients by providing directions to outside facilities.
• Communicates with outside referral services by telephone, fax, and e-mail.
• Serves as liaison between patient and inside/outside providers.
• Communicates referral appointment information to patient and provider.
• Keeps pre-testing instructions updated from referral organizations.
• Generate reports as requested.
• Work collaboratively with Member Services and Care Coordination department.
• Enters referral into “BlueLinks.”
• Enters patient information into “AIM” to obtain prior approvals.
• Initiates process for over 90 days and out of network referral requests in coordination with Member Services.

GENERAL OFFICE:

• Assures the safe and satisfactory care of patients.
• Opens and closes the clinic according to written protocol.
• Collects and records all payments including insurance co-payments, inoculations, fee for service, and medical equipment.
• Schedules patient appointments utilizing all functions of the appointment system.
• Completes all the necessary information in scheduling patient appointments.
• Handles all emergency phone calls efficiently, and according to emergency protocol.
• Responds appropriately to patient requests for medical record information
• Assists patients by providing directions, escorting, transporting, and ensuring their comfort and safety
• Demonstrates flexibility when unexpected changes in assignment occur.
• Communicates to other staff members/group leader and/or clinician prior to leaving unit for break or lunch periods and prior to leaving for the day in order to ensure appropriate unit coverage.
• Demonstrates the ability to identify and respond to potential life threatening situations during telephone encounters.
• Prepares medical records ensuring that confidentiality is maintained.

PROFESSIONAL/TEAM WORKPLACE ACCOUNTABILITY:

• Maintains patient confidentiality.
• Demonstrates respect in all interpersonal interactions.
• Works collaboratively with all members of the health care team.
• Performs all personal business away from patients and all work areas.
• Identifies own learning needs and requests assistance from others when needed.
• Adheres to regulatory guidelines i.e. AAAHC, DPH, OSHA, etc.
• Adheres to departmental and unit specific policies, procedures, guidelines and protocols.
• Participates in orientation of new staff members.
• Attends staff meetings and educational offerings required by the department.
• Provides coverage to other areas as necessary.
• Performs related duties as required.
• Provides proper notification for absences or tardiness and time off in advance.
• Is reliable, dependable and prepared for duties at start of shift in coming to work.
• Is flexible and responsive to the needs of the clinic and department in regard to work schedule.
• Demonstrates caring and willingness to help in all interactions.
• Utilizes time productively.
• Maintains professional conduct and appearance.
• Performs other duties and responsibilities as needed.

Basic Qualifications
High school diploma or equivalent.

COMPLIANCE:

• Adheres to the expectations and professional responsibilities of the department.
• Employs the standards, practices, and procedures of the department.
• Completes and complies with HUHS training requirements including HIPAA Privacy and Security.
• Reports non-compliance incidents to the supervisor, manager, and/or Compliance Officer.

Excellent interpersonal, customer service and organizational skills.
Experience with insurance products and obtaining prior authorization.
Certificates and Licenses
Medical secretary/patient service experience. Typing and/or computer skills, telephone skills, and multi-lingual.
Schedule
Wednesday and Friday 8.75 hours
Commitment to Equity, Diversity, Inclusion, and Belonging
Harvard University views equity, diversity, inclusion, and belonging as the pathway to achieving inclusive excellence and fostering a campus culture where everyone can thrive. We strive to create a community that draws upon the widest possible pool of talent to unify excellence and diversity while fully embracing individuals from varied backgrounds, cultures, races, identities, life experiences, perspectives, beliefs, and values.
EEO Statement
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, gender identity, sexual orientation, pregnancy and pregnancy-related conditions, or any other characteristic protected by law.
SEE FULL JOB DESCRIPTOIN ON OUR WEBSITE

Job Type: Part-time

Experience:

• Medical Secretary Experience: 1 year (Required)

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