Patient Referral Coordinator - Lifestyle Medicine

Position Description

Serve as a liaison between insurance and health care providers to ensure the timely coordination, and accurate processing, of patient referrals required for medical specialty visits.

Department

Clinical Transformation Ode

Major/Essential Functions

• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Ensure complete and accurate registration, including patient demographics and current insurance information.
• Assemble information on the patient's clinical background and referral needs. Per referral guidelines, provide the specialist with appropriate clinical information.
• Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis. Provide specific medical information to financial services to maximize reimbursement.
• Review details and expectations about the referral with patients.
• Assist patients in problem-solving potential issues related to the health care system and financial or social barriers (e.g., requesting interpreters as appropriate, transportation services, or prescription assistance).
• Serve as the system navigator and primary contact for patients and families, allowing them direct access to ask questions and express concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies -services for the patient in a timely fashion.
• Identify and utilize cultural and community resources.
• Establish and maintain relationships with identified service providers.
• Remind patients of scheduled appointments via, email, mail, or phone.
• Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits, and community organizations related to their health.

Occasional Duties

• Travel to different TTUHSC campuses in Midland and Odessa.

Required Qualifications

• Associate degree plus one (1) year of experience directly related to the processing of patient referrals.
• OR High school diploma or GED plus three (3) years of experience working as a Certified Medical Assistant.
• OR High school diploma or GED plus five (5) years of experience directly related to patient registration, patient scheduling, patient billing/collections, the processing of prior authorizations, and/or the processing of patient referrals.

Preferred Qualifications

• Bilingual - English/Spanish.
• Prior experience working with TTUHSC.

EEO Statement

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information or status as a protected veteran.

Jeanne Clery Act

The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. To view this report, visit the TTUHSC Clery Act website at https://www.ttuhsc.edu/compliance/clery-report.aspx.