| Job Description: |
Position is responsible for answering intake/referral phone line and taking all pertinent information
including demographics, diagnosis, medical history and insurance information and entering into a
Departmental database. Retrieves fax information sent from patients and referring physicians and enters
into database. When required, responsible for taking an accurate, legible and complete phone message.
Reviews in-house referrals sent through the hospital intranet web site including verifying that requests are
complete, and either schedules, rejects or requests further information, as required. Checks in hospital
information systems (SMS) to ensure patient is a new patient and not a return.
Interacts with clinic, departmental and other health center personnel to resolve issues, to confirm
appointments, or to obtain further information. Observes all HIPAA rules & regulations and ensures that
protected health information is secure.
Generates through SMS a medical record number for new patients. Assists other team members by
calling insurance carriers or using on-line services to verify patient’s medical insurance including dates of
service, co-pays, deductibles and provider participation. As needed, obtains from the PCP an authorization
number or contacts insurance carrier to obtain.
Schedules patient appointments in scheduling system (IDX) which includes entering date, time,
duration of visit, insurance information including FSC, authorization numbers, type of visit, co-pays,
deductibles, and number of authorized visits. Responsible for calling patients and/or referring physicians
with appointment dates and times, or to obtain additional or corrected information. Sends out new patient
letters/packets, as needed.
Responsible for filing pending referrals in alpha sequence. Acts as back up in the absence of other
team members.
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