What are the responsibilities and job description for the CMA or MA Referral Coordinator position at Brazos Valley Community Action Agency?
Job Title: CMA or MA Referral Coordinator
Department: Care Management Services
Location: HealthPoint Creekside
Days and Hours of Work: Full-time; M-F
Reports to: Manager of Care Management Services
Duties: The position of CMA/MA Referral Coordinator (RC) is responsible for the processing and coordinating patient referrals and is an active participant of the patient care team. The RC assists providers and patients with the referral process for specialty care, diagnostics services, and social series to ensure continuity of care utilizing the various protocols required by health plans, and other contracts.
Essential Functions:
- Follows referral policies and workflows.
- Prioritizes referrals by their urgency and addresses them in a timely manner.
- Ensures complete demographic, insurance information and appropriate/pertaining clinical information is sent to referred specialists.
- Contacts insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as, history, diagnosis and prognosis to insurance companies if deemed necessary to prove medical necessity of services.
- Reviews details and expectations about the referral with both ordering providers and patients.
- Requests new referrals to be ordered when applicable.
- Identifies and utilizes community resources; establishes relationships with servicing providers and personnel.
- Point of contact for patients and specialists for any questions or rising concerns. Assist in problem solving potential issues related to their referral due to language or social barriers. If unable to help, assist in finding the right point of contact to further help.
- Maintain ongoing tracking and appropriate documentation on referrals.
- Remind patients of their approved specialty appointments via mail or phone.
- Ensure that patient's primary care chart is up to date with information on specialist consult reports.
- Participate in PDSA’s to continuously work on improving patient referral processes.
- Be flexible, organized, and function under stressful situations.
- Navigation to resources to address barriers to completing referral.
Education:
CMA/RMA Required:
- Successful completion of an accredited Medical Assistant program.
- Certification Completion as a Certified Medical Assistant or Registered Medical Assistant.
MA Required:
- Successful completion of an accredited Medical Assistant Training Program or 6 months commensurate work experience as a Medical Assistant in a healthcare setting.
CMA/RMA/MA Preferred:
- Bilingual (Spanish/English)
Work Experience:
- CMA/RMA Required: 1-3 months of related experience
- CMA/RMA Preferred: 3-6 months of related experience
- MA Required: 1-3 months of related experience if completed program; 6 months if did not complete program
- MA Preferred: 3-6 months of related experience
License, Certificates, or Registration:
CMA/RMA Required:
- CPR Certification, Current Certification, or registration as a Certified Medical Assistant (CMA; Must posses a valid state Driver’s license and automobile insurance with reliable transportation.
MA required:
- Proof of certificate of completion from the Medical Assistant Training Program or if commensurate work experience. Must have copy of High School Diploma or GED; Current CPR Certification; Must possess valid state Driver’s license and automobile insurance with reliable transportation.
Covid-19 Vaccine Required