Referral Center (Butler)

Highmark Health in Butler, PA

  • Industry: Healthcare - Allied Health - Nursing Assistant/Patient Care Technician
  • Type: Full Time
  • $123,405.00 - 38,910.00
position filled

Job Description :

GENERAL OVERVIEW:

Serves as a coordinator for patients and medical facilities into the post-acute care network as part of the AHN Healthcare at Home program. Assists with the coordination of medical care services that support the individual's continued recovery from illness or disability by placing the referrals and routing them to the appropriate post-acute care services and facilities. Following a hospitalization for injury or illness, many patients require continued medical care, either at home or in a specialized facility- the representative facilitates care coordination amongst hospitals, outpatient physician offices, and ancillary departments.

ESSENTIAL RESPONSIBILITIES:

  • Places referrals by data entry using an Allscripts based program in a timely manner.
  • Enters patient information accurately into the system.
  • Monitors assigned hospital work queues to ensure facilities are accepting the referrals within 30 minutes of placement.
  • Verifies and enters into a computer database patients' demographic information.
  • Displays the ability to transcribe physician orders in order to properly enter and submit to the post-acute care facility.
  • Works cooperatively with all parties in the coordination of patient care.
  • Places and routes the referral for Home Medical Equipment, Home Health, Home Infusion, Palliative Care, Hospice, and placement into Skilled Nursing Facility, or Rehabilitation Center.
  • Acts as a patient liaison for all aspects of transition of care from the post-acute care network by following up with patients via telephone to ensure patient satisfaction.
  • Applies a quality control method by ensuring efficient and correct communication between care providers as well as delivery of product/service for patient satisfaction by identifying problems or opportunities for service and taking appropriate action to address their concerns.
  • Escalates patient concerns or issues to immediate Supervisor.
  • Answers consumer inquiries via telephone in regards to the Healthcare at Home program and its services.
  • Performs other duties as assigned or required.
  • QUALIFICATIONS:

    Minimum

  • Two years experience in a healthcare call center or customer service environment
  • Preferred

  • Clinical or medical background
  • As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Companys Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employees responsibility to comply with the companys Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

    ----------------------------------------------------------------------------------------

    Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.


    Associated topics: bhlex, certified, certified home health aide, delivery room, doula, home health aide, nurse, patient care technician, ward, wh4

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