Functions of the ACHC Referral Specialist:
As an Outreach Worker –
- Assisting patients and others with application for the Oregon Health Plan and Affordable Care Act.
- Processing applications for the Sliding Fee Scale Program.
And as the Referral Coordinator –
- Process, track, and resolve all referrals from our providers to outside resources of imaging and specialists.
- Obtain prior authorizations for referrals that are required from the various insurance entities of our patients.
- Maintain a referral tracking log to monitor each referral: where, when and to who the referral was sent.
- Contact referred to providers each week on all unscheduled referrals.
- Contact referred to providers each week on kept appointments for which we have not received a report in a timely manner.
- Prepare monthly reports for Administration and the Providers of the active referrals in the referral log.