Referrals LPN

General Responsibilities

• Collects referral appointment information for medical care as recommended by staff providers with outside medical providers; may assist patients in making appropriate appointments as necessary by the office or as requested by patients.
• Completes referral documentation to include verifying patient eligibility, address, third party coverage and cost of services.
• Affirms that hard-copy referrals are complete and ready for patient pick up and sent to the appropriate office.
• Informs and educates patients on referral procedure and obtains appropriate signatures on forms as needed.
• Maintains referral logs and referral tracker system.
• Maintains updated log of approved vendors and their addresses, phone and fax numbers.
• Obtains authorization from insurance carriers through their online portal, phone, or fax.
• Engages and collaborates with outside agencies in an effective and professional manner.
• Aids in the coordination of health records (i.e. from Health Information, X-Ray Technician) required to be sent to the specialists prior to appointments.
• Orders medical supplies and durable medical equipment that is not available on site.
• Informs patients of any special instructions for testing prior to appointments.
• Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
• Collaborates with other personnel to achieve department objectives and maintain good employee relations, interdepartmental objectives, and infection control policies.
• Demonstrates sensitivity to patient's comfort and privacy and expresses willingness to aid patients appropriately.
• Documents all patient contacts according to the provisions of the Privacy Act of 1974.
• Ensures accuracy in recording of patient health records.
• Participates in medical chart audits as directed by supervisor.
• Acts as liaison between patients and medical staff while completing the referral.
• Documents all no-show appointments for outside referrals in designated area in patient’s chart and also notifies referring provider.

Qualifications

• Current Licensed Practical Nurse NYS licensure required.
• Minimum of 2 years clinical experience required.
• Current CPR/BLS required.
• Experience in a large hospital, academic medical center, outpatient health care setting, or Indian Health Service (IHS)/tribal health, preferred.
• All required licenses, certifications, and credentials must be obtained prior to hire and maintained throughout employment at the employee’s expense, unless otherwise specified.