Elverick Ferrell

Background

About Elverick Ferrell

Process referrals for insured and uninsured patients throughout Los Angeles County utilizing Medpoint System for insured patients and the Referral Processing System (RPS) and eConsult for uninsured patients. And uninsured patients for mammography will be referred to in-house service provided by outside agency. Process referrals with private insurances HMO and PPO.Verify patient insurance status whether patient have insurance or not. If patient is insured, check eligibility to determine specialist’s resource. If patient is uninsured, chose public resource.Refer for in-house service such as retinal screening and telederm for uninsured patient.Communicate daily with Health Care LA IPA, RPS system and eCounsult to check status.Upon approval for referral request, notice to patient appropriately such as phone and mail. And send necessary document to specialist by fax.Request report from specialists and the report will be scanned into eCW and assigned to appropriate physician. For mammogram and retinal screening, patient will be referred to specialist for necessary treatment according to the report.Each referral clerk documents all the process in ecw until we receive the report. And record necessary information to keep track on referral status on our own.Attend monthly meetings addressing utilization management for Health Care LA IPA, eConsult and RPS system.(for designated staff only)Responsible for a monthly report to measure productivity.Other duties as assigned.Physical DemandsThe physical demands are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential