STGi is currently seeking a Referral Coordinator to work full-time in support of ICE Health Service Corps at the Immigration and Customs Enforcement Medical Facility. 

 

The Referral Coordinator (RC) administratively processes IHSC medical referrals for off-site medical appointments. In addition, they schedule off-site specialty consults and follow-up appointments and request and upload medical records to the electronic Health Record (eHR). The RC is the primary point of contact (POC) and liaison between the IHSC Health Plan Management Unit, requesting provider, and the community provider to initiate enrollment as well as assist with billing and claims resolution as applicable. The RC maintains a system of records for reference in support of the IHSC HPMU Provider Network.

 

 

ATTRIBUTES AND PROFESSIONAL QUALITIES

Strong oral and written communication skills. Excellent interpersonal skills. Critical thinking skills. Cultural competency. Integrity and honesty. Experience in a detention/correctional or residential healthcare setting (preferred, not required).

 

MAJOR DUTIES AND RESPONSIBILITIES

Prepares, updates, and maintains medical referral information for each patient ensuring accuracy of information in the patient’s medical record. Supports the IHSC outside provider recruitment process as liaison between providers and IHSC. Maintains a system of records for tracking purposes for reference in support of the IHSC HPMU Provider Network. Coordinates the purchase or rental of durable medical equipment for detainees in ICE custody. Contacts the off-site community medical providers to schedule appointments for specialty care based on IHSC provider referral and documents specific appointment date in the eHR. Tracks compliance with scheduled patient appointments, making timely reminder notices, or calls to the off-site facility (hospitals, long-term care facilities, etc) and IHSC staff prior to each appointment where applicable. Coordinates transportation with custody transport staff for the scheduled off-site medical appointments and creates the sealed medical packet that is sent with the patient, via custody transportation staff, that contains pertinent medical documentation for the appointment. Files/scans laboratory, radiology, and other reports in appropriate sections of the electronic medical record when patient returns from off-site visit. Routes clinical reports to appropriate clinic staff within prescribed timeline. Corresponds with off-site medical facilities and HPMU Provider network providers to request pertinent medical information to place in the medical record using appropriate and authorized ICE and IHSC forms. Tracks requests and performs follow-up ensuring receipt of information requested. Handles all correspondence requiring authorizations for payment of medical services. Reviews all documentation for completeness and routes incomplete documents to the appropriate provider for correction prior to placing/scanning in the medical records. Receives and processes requests for information in accordance with the Fair Information Practice Principles and Privacy Act. Uses multiple systems to process a variety of narrative and tabular material (e.g., eHR systems, email correspondence, eXCEL tabular data, Enterprise Business Optimizer reports, etc.) to prepare, update, and maintain a medical record and provide required and requested information to appropriate medical personnel. Completes reports needed to ensure that all referrals have been completed correctly before they are transmitted to the VA system for payment and corrects any errors found. Assists to reconcile and resolve denied outside provider claims. Performs record keeping functions in accordance with program policies and position. Maintains functional proficiency and ease of use utilizing electronic health records and referrals. Completes and passes all Referrals Coordinator competencies, initially and annually. Completes all initial, annual and ad hoc training as required/assigned. Serves as a team member for analyzing established protocol practices and identifying areas for improvement. Maintains patient confidentiality, and confidentiality of medical records, in compliance with the Privacy Act and HIPAA regulations in all work activities. Adheres to and maintains awareness of: IHSC Policies, Procedures, Directives, Operational Memoranda and accreditation standards as prescribed by ICE/IHSC. Adheres to and participates in: IHSC’s Safety, Quality Improvement and other programs and collateral duties as appropriate to position. Attends and participates in general/medical staff meetings.