Referral Coordinator

Grade: 052 Department: University Health Services - Internal Medicine FLSA Status: Non-exempt Company Description By working at Harvard University, you join a vibrant community that advances Harvard's world-changing mission in meaningful ways, inspires innovation and collaboration, and builds skills and expertise. We are dedicated to creating a diverse and welcoming environment where everyone can thrive. Why join Harvard University Health Services (HUHS) Harvard University Health Services (HUHS), part of University Central Administration (CADM), is the on-site multi-specialty medical practice and health administration for the Harvard community. It provides care to students, faculty, staff, eligible post-docs, retirees, and their dependents. HUHS also manages two university-owned health plans, HUGHP and SHIP, and collaborates with other departments to address public health needs.

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. 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 Blue Cross Provider Central Enters patient information into Blue Cross Provider Central to obtain prior approvals. Initiates process for over 90 days and out of network referral requests in coordination with Member Services. General Office As a member of the clinical care team, assures the safe and satisfactory care of patients. Opens and closes the clinic according to written protocol. Schedules patient appointments utilizing all functions of the appointment system. Completes all the necessary information in scheduling patient appointments. Handles all emergency phone calls appropriately, efficiently, and according to emergency protocol. Responds appropriately to patient requests for medical record information. Types and sends letters. Assists patients by providing directions, escorting, transporting, and ensuring their comfort and safety. Sets priorities in organizing activities for the day. Demonstrates flexibility when unexpected changes in assignment occur. Identifies own learning needs and requests assistance from others when needed. Documents care provided using appropriate forms. Demonstrates the ability to identify and respond to potential life threatening situations during telephone encounters. Demonstrates universal precautions in all care delivery. Carries out proper procedure for reporting faulty equipment. Prepares medical records ensuring that confidentiality is maintained. Professional / Team Workplace Accountability Maintains patient confidentiality. Demonstrates respect in all interpersonal