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Connections Patient Service Assistant/Referral Coordinator in Indianapolis, IN at Eskenazi Health

Date Posted: 5/3/2019

Job Snapshot

Job Description

Organization: HHC

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 315-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.

**PRN Schedule**

JOB SUMMARY:

 

The Connections PSA/Referral Coordinator answers patient telephone inquiries regarding Eskenazi Health, Specialty Clinics and Ambulatory Care. This position reports to the Manager, Health Connections and schedules physician-ordered non-surgical procedures and tests. The Connections PSA/Referral Coordinator verifies insurance eligibility and directs uninsured/underinsured patients to financial counselors. 

ESSENTIAL JOB FUNCTIONS:

 

  • Receives and places 24/7 inbound and outbound telephone triage unit patient and scheduling calls
  • Responsible for but not limited to the following:
  • Identifies the patient within the Eskenazi Health network
  • Adapts activities/behaviors to reflect and ensure adequate service appropriate to the age of the patient served, (i.e. neonatal, infant, pediatric, preschool, school-age, adolescent, adult, and geriatric)
  • Utilizes the EPIC referral system to send referrals to other clinics and retrieve referrals:
  • Accepts, denies and processes tickets
  • Schedules appointments
  • Enters appointment date and  time
  • Schedules physician-ordered non-surgical procedures and tests and, utilizing knowledge of third party payers and CPT, HCPCS, ICD9, and modifier codes, ensures that diagnoses meet criteria for reimbursement
  • Verifies patient insurance eligibility and benefits either electronically (HDX) or by telephone
  • Responds quickly to requests and takes action, giving attention to detail; explains delays
  • Answers patient telephone inquiries regarding Eskenazi Health, Specialty Clinics and Ambulatory Care
  • Obtains and verifies medical record number for existing callers, obtains and provides number for new callers; refers all inquiries to the appropriate areas of services
  • Documents all inquiries for medical, legal and statistical purposes
  • Informs Connections nurse of callers with emergent symptoms for triage and serves as clinic liaison to assigned clinics
  • Informs patient and/or family of the patient obligation policy, directing patient to financial counselors when patient has no coverage for ordered procedure or visits

 

JOB REQUIREMENTS:

 

  • High School Diploma or equivalent (GED); Associate's degree is preferred. Post-secondary education courses or certification in business, computers, (Word, Excel, etc.) and Office Management
  • 1-2 years of experience in business, health care and customer service experience, office management, or health information management of medical office setting
  • Certificate in medical terminology highly preferred
  • Must pass annual competency exams as required

Accredited by The Joint Commission and named one of the nation’s 150 best places to work by Becker’s Hospital Review for three consecutive years and Forbes list of best places to work for women, and Forbes list of America’s best midsize employers’ Eskenazi Health’s programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city’s primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care – Center of Excellence in Women’s Health, just to name a few.