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University of Rochester Referral Coordinator Lead - 218405 in Rochester, New York

Referral Coordinator Lead

Job ID

218405

Location

Medical Faculty Group

Full/Part Time

Full-Time

Favorite Job

Regular/Temporary

Regular

Opening

Full Time 40 hours Grade 010 Orthopaedic Appt Ctr

Schedule

7AM-7PM

Responsibilities

Position Summary:

Oversees and provides direction to Referral and Prior Authorization Specialists; trains new employees, resolves problems and issues, monitors quality assurance of daily operations and provides coaching and training support.

Responsibilities:

  • Coordinates daily assignments of Referral and Prior Authorization Specialists to manage the referral and authorization processes.

  • Serves as a focal point for answering questions and solving problems for difficult and unusual authorizations, assists in problem identification, quantification, and resolution.

  • Performs quality assurance monitoring and assessment against key performance indicators for activities completed in area of immediate responsibility as well of other areas that affect it; using system reporting, measures quality, quantity and timeliness of tasks performed; prepares related logs and management reports and communicates results to staff and manager.

  • Collaborates with other Referral and Prior Authorization Leads across programs to establish best practice standards, disseminates those standards and implements and monitors the adherence to those standards.

  • Implements and monitors procedures for enhancing levels of service and quality. Develops guidelines for prioritizing and assigning work activities, evaluating effectiveness and modifying processes as necessary.

  • Participates in recruiting, hiring and promotion decisions. Completes performance evaluations. Promptly and accurately completes required documentation related to hires, terminations, and other status changes. Monitors staff performance; counsels staff regarding performance issues. Adjusts staff schedule and duties as necessary using experienced judgment. Manages and approves staff requests for time off and overtime. Oversees time approval.

  • Provides training to Referral and Prior Authorization Specialists on all aspects of referral and authorization work, including electronic medical record system support, patient record review, knowledge of provider sub-specialties and facilitating the collection of additional information from provider to submit to insurance carrier when needed.

  • Acts as information resource. Attends educational programs for department at direction of supervisor and teaches other staff.

  • Performs duties of Referral and Prior Authorization Specialist as required particularly for those more complex referral requests. Achieves and maintains proficiency in provision of excellent customer service, accuracy and efficiency of work.

Qualifications:

Associate's degree in Medical, Secretarial or related field and a minimum of 3 years of relevant experience required with 1 year of demonstrated leadership experience; or an equivalent combination of education and experience.

How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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