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About the Role
The University of Rochester is seeking a patient referral specialist to manage department referrals, ensure data compliance, and improve patient scheduling and treatment coordination.
Responsibilities
- Serve as the patient referral specialist with oversight of data and compliance.
- Communicate with patients, families, and staff to identify barriers to appointment compliance and track assistance provided.
- Manage all aspects of the referral process, impacting patient scheduling, treatment, care, and follow-up.
- Adhere to approved protocols for working referrals.
- Make decisions guided by protocols and practices requiring interpretation.
- Maintain an expert-level understanding of the department/division.
- Train new staff members as needed.
- Manage department referrals and serve as a liaison between referring offices, specialists, and patients.
- Coordinate scheduled visits and procedures using Epic Referral work queues.
- Conduct data analyses to track patient compliance and monitor work queues.
- Communicate with referring and referred-to departments to reconcile discrepancies.
- Escalate case management when medical assessment is needed.
- Prioritize referral requests using medical protocols and expedite urgent requests.
- Request and coordinate team and patient meetings.
- Participate as an active member of the care team.
- Acquire insurance authorization for visits and testing, documenting information in Epic.
- Document all communications pertaining to referrals and insurance authorization in Epic.
- Perform needs assessments using the electronic medical record to ensure appropriate scheduling.
- Capture accurate patient demographic and insurance information.
- Adhere to RIM protocols for record verification.
- Perform complex appointment scheduling and link referrals and ancillary services.
- Provide patients with appointment and provider information, directions, and educational materials.
- Provide regular data on patient compliance and strategies to improve it.
- Ensure ancillary testing and specialty referrals are executed and results are received and acted upon.
- Investigate, troubleshoot, and resolve issues related to information delivery/receipt.
- Demonstrate expert medical knowledge to recognize urgent clinical situations.
- Review complex referral requests and schedule with the appropriate provider.
- Work with providers and clinical staff to establish patient care plans.
- Serve as backup to the PSS scheduling team.
- Process outgoing referrals and discuss care options with patients.
- Ensure Meaningful Use requirements are met.
- Transfer Summary of Care electronically via Epic or by facsimile/mail.
- Process incoming referrals not generated within the UR system.
- Complete referral entry for external referrals into Epic.
- Coordinate ancillary testing and obtain outside records.
- Perform other duties as assigned.
Requirements
- High School diploma or equivalent and 2 years of relevant experience required.
- Equivalent combination of education and experience.
- Medical Terminology preferred.
- Experience with surgical/appointment scheduling software preferred.
- Experience with electronic medical records preferred.
Skills
- Demonstrated customer relations skills required.
Location
- 2337 Clinton Ave S, Brighton, New York, United States of America, 14618
Work Type
- Regular
- Full time
Experience Level
- 2 years of relevant experience
Education Level
- High School diploma or equivalent
Salary/Compensations
- $20.30 - $27.41
About the Company
- As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better.
- Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability.
- Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
Equal Opportunity
- The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better.
- In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics).
- This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.