Duties and Responsibilities:

Medical Records:

• Maintains accurate medical records, following established guidelines.
• Responds to all requests for release of patient medical records for assigned departments.
• Ensures all requests and releases of protected health information are in compliance with HIPAA regulations.
• Consults with the Clinical Informatics department or Corporate Compliance Officer, as needed, on medical records requests.
• Tracks, scans and files incoming records and information, following established guidelines.

Referrals:

• Completes referrals in an accurate and timely manner.
• Prioritizes Providers' orders for diagnostic testing and referrals.
• Obtains insurance authorizations for internal and external referrals, as designated.
• Schedules referral appointments and verifies that the patient has received all recommended aspects of care, as directed by the Provider, prior to the appointment.
• Utilizes established documentation system for tracking referrals related to specialty services, and notifies the referring Provider if patients do not adhere to the recommended plan of care and/or follow-through with referral appointments.
• Educates patients regarding the requirements of their selected health care plan, and acts as a liaison between the referring provider, patient, provider specialists, and health plans, and works to establish rapport with all patients via an effective, hands-on communication style.
• Remains up-to-date on referral authorization processes.

General:

• Demonstrates superior customer services skills, including, but not limited to:
  • Interacts with all internal and external customers in a caring and respectful manner.
• Answers telephone, responds to messages/inquiries, and routes calls in a timely and polite manner.
• Communicates with patients and their families in a courteous, professional, cooperative and mature manner both in-person and over the telephone.
• Attends and participates in departmental meetings, or other meetings as appropriate.
• Assists in providing PI reports for improving quality of patient care.
• Performs other duties as assigned by supervisor.

Qualifications:

Education and Experience:

High School diploma or equivalent. Two years medical office experience preferred. Previous experience in medical records or referrals also preferred.

To learn more about Tandem Health and our benefits, please click the links below.

https://tandemhealthsc.e3applicants.com/about-us/benefits-trial

https://www.youtube.com/watch?v=STg1IbibH5g