Testing and Outgoing Referral Representative

Job Title: Orthopedic TestingOutgoing Referral

Position Type: Non-Exempt, Full Time, Onsite

Location: Hyannis, MA

Cape Cod Orthopaedic and Sports Medicine (CCOSM) is a privately owned, growing practice with locations in Hyannis, Sandwich and Falmouth, Massachusetts. Our mission is to excel in all aspects of orthopedic, physical therapy, to ethically and professionally serve our patients, and to promote lasting recovery and health. We respect the dignity and diversity of all individuals and maintain a commitment to honesty, integrity, and unquestionable ethics in our interactions with patients, their families, our employees, other professionals and members of the community. We endeavor to establish and maintain a safe, accessible, and aesthetically pleasing environment of care that enhances the dignity of individuals and ensures the safety of patients, staff, and visitors.

Job Responsibilities:

Patient CoordinationCommunication

• Serve as a liaison between patients, orthopedic providers, diagnostic facilities, and insurance companies.
• Communicate testing instructions, appointment details, and follow-up plans clearly to patients.
• Answer patient questions related to testing or referral processes.

Outgoing Referral Management

• Ensure timely submission of referral paperwork and documentation.
• Track referral status and follow up with providers to confirm patient appointments are scheduled.

Diagnostic Testing Coordination

• Schedule and coordinate diagnostic tests such as MRIs, CT scans, X-rays, bone scans, EMGs, or ultrasounds.
• Verify test orders with physicians and ensure the correct testing protocols are followed.
• Communicate with radiology/imaging centers to arrange appointments and ensure timely results.

InsuranceAuthorization

• Obtain insurance pre-authorizations or approvals for tests and referrals when required.
• Ensure all procedures comply with insurance guidelines to avoid claim denials.
• Communicate with insurance companies regarding coverage, billing codes, and documentation needs.

DocumentationEMR Management

• Enter all referrals, test orders, results, and communication notes into the Electronic Medical Record (EMR) system accurately.
• Track and follow up on outstanding test results or referral reports.
• Maintain confidentiality and compliance with HIPAA regulations.

Team Collaboration

• Work closely with orthopedic surgeons, physician assistants, and medical assistants to ensure seamless patient care.
• Participate in staff meetings and workflow improvement initiatives.

Key Skills Required:

• Strong knowledge of orthopedic terminology and procedures
• Familiarity with diagnostic imaging processes
• Excellent communication and interpersonal skills
• Proficiency with EMR systems (eClinicalWorks/Epic)
• Understanding of medical insurance and referral processes
• Strong attention to detail and organizational skills