FHC Patient Access Referral Specialist I

Description

CHARACTERISTICS OF THE WORK

• Processes and manages all requests for referrals.
• Verifies diagnosis codes that support medical necessity for referrals.
• Schedules appointments for procedures and/or medical consults.
• Prepares Transition of Care document in the electronic health record (EHR) and submits all necessary documents to referral office via direct message, when applicable, or through the fax server.
• Communicates details of the referral order and referral management module in EHR and Practice Management System (PMS).
• Queries ordering provider as necessary to obtain all information required by the referral office.
• Closes out referral orders in EHR and the referral in PMS when the referral expires or results of visit are received.
• Identifies patients with Limited English Proficiency (LEP) and/or other communication barriers and uses the appropriate interpretative services.
• Documents as appropriate on the medical record, forms, and/or computer the required documentation related to interpretative services.
• Adheres to standard precautions.

EXAMPLES OF THE WORK

(These statements are intended to be illustrations of the work of this class.)

• Processes and manages all requests for referrals.
• Verifies diagnosis codes that support medical necessity for referrals.
• Schedules appointments for procedures and/or medical consults.
• Prepares Transition of Care document in the electronic health record (EHR) and submits all necessary documents to referral office via direct message, when applicable, or through the fax server.
• Communicates details of the referral order and referral management module in EHR and Practice Management System (PMS).
• Queries ordering provider as necessary to obtain all information required by the referral office.
• Closes out referral orders in EHR and the referral in PMS when the referral expires or results of visit are received.
• Identifies patients with Limited English Proficiency (LEP) and/or other communication barriers and uses the appropriate interpretative services.
• Documents as appropriate on the medical record, forms, and/or computer the required documentation related to interpretative services.
• Adheres to standard precautions.

Minimum Requirements

• High school graduation or its equivalent.
• One year of experience as a medical office specialist in a federally qualified health center (FQHC) or health care setting.

Physical Requirements And Working Conditions

• Responds to patient and FHC needs via telephone, internet, fax, computer software, and in person.
• Lifts and carries materials weighing up to 15 lbs.
• Spend extended periods of time sitting, standing, and walking.
• Spend extended periods of time typing and reading computer screens.
• Identifies medical record documentation, requests, and/or releases.

Special Requirements

• Must be available to work extended hours as necessary.
• Must provide own transportation to work at other FHC locations as needed.