Referral Coordinator

JOB SUMMARY

The Referral Coordinator provides support to patients as part of Rhode Island Primary Care’s (RIPCPC) interdisciplinary care team. The Referral Coordinator will accurately and thoroughly document all assigned referrals within the Electronic Health Record (Epic) during every step of the referral process from initiation to release back to the practice after appointment is scheduled. The Referral Coordinator works with adult and pediatric primary care practices to respond to their patients’ referral needs.

Effective October 1, 2021 all RIPCPC employees must be fully vaccinated for SARS CoV2 (COVID-19).

ESSENTIAL JOB FUNCTIONS

• Assist provider practices with scheduling specialist appointments for patients with all insurance types (Blue Cross, United Health, Medicare, etc.)
• Ensure accurate and thorough documentation of referrals within Epic (E.H.R.) during every step of the referral process from initiation to closure. This documentation will allow all Epic users to see the current status of any open referral.
• Verify patients’ current insurance coverage.
• Work collaboratively with office practice staff, physicians, and other providers.
• Work collaboratively with RIPCPC staff including, but not limited to, nurse care managers (NCM), pharmacists (RPh), patient care coordinators (PCC), and quality improvement specialist (QIS) team members.
• Actively participate in staff meetings as scheduled and education sessions as needed.

QUALIFICATIONS

Minimum Education and Experience

• 1-2 years’ experience working in a health care related field, with direct interaction with clinical staff preferred.
• Experience with documenting in an electronic health record.
• Effective oral and written communication skills.
• Skilled in patient-engagement and customer support.
• Skilled in telephonic patient interactions.
• Basic understanding of health care system and how to assist patients in navigation.
• Detail orientation and ability to juggle multiple tasks.
• Highly self-motivated.
• Team focus required.
• Ability to manage change in a positive manner required.
• High school diploma required.

Preferred Education, Additional Qualifications and Experience

• Trained on Epic Electronic Health Record (E.H.R.).
• Bilingual – Spanish preferred.
• Experience working in interdisciplinary teams.
• Knowledge of specialty care resources across the state.

WHAT RIPCPC DOES…

Rhode Island Primary Care Physicians Corporation (RIPCPC), is a multi-specialty Independent Practice Association (IPA) that has been implementing innovative quality improvement models since 1994. We are a population health management organization that focuses on improving outcomes for our physician members’ patients. Our dedication to improving the care delivery system is demonstrated through our commitment to the National Committee for Quality Assurance’s Patient-Centered Medical Home (PCMH) model. A patient centered approach to practicing medicine enhances quality, improves access and implements advanced care coordination strategies. RIPCPC has implemented more PCMH’s than any other organization in Rhode Island. In addition to the proliferation of the PCMH, our latest and most significant initiative is focused on shaping a virtually integrated health care system with Care New England. This joint venture has led to the creation of an Accountable Care Organization (ACO), Integra, Rhode Island’s first partnership between a physician organization and a hospital system. Integra’s unique ability to coordinate care system wide, enables us to deliver a care experience unmatched in Rhode Island. Our Mission: Deliver the highest quality of health care and the best patient experience in the State of Rhode Island.

Rhode Island Primary Care Physicians Corporation is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work Location: One location