Referral Coordinator

Job Summary
We are looking for 4 Referral Coorindators to join our team in Midtown!

Job Summary: The Referral Coordinator (REFC) reports to the Referrals Manager and provides clerical and administrative support to the health center for the organization of internal and external referrals. This position will support the daily needs of all of the Referral Coordination for the medical department in the health center. The REFC is responsible for ensuring that all appointments, required documentation, insurance information and prior authorizations are established with specialty providers, insurance entities and patients.

Qualifications:

• High School diploma or equivalent.
• Minimum of 1 year of experience in medical office setting
• Excellent computer and technology skills.
• Ability to communicate orally and in writing; professional demeanor and the ability to represent the clinic in the community.
• EMR experience, NexGen preferred
• Referral and/or prior authorization experience preferred
• Knowledge of Medi-Cal, Medicare and managed care plans preferred
• Knowledge of medical terminology and medical procedure terminology preferred

Essential Functions:

• Receives referral requests from providers and communicates with them, or a member of the patient’s care team, as needed
• Obtains prior authorizations for patient referrals to specialists and surgeries. Advises provider if authorization request is denied.
• Communicates with different insurance companies to process referrals appropriately and verifies eligibility of insurance for patients
• Requests appointments from appropriate specialty providers
• Verifies eligibility of insurance for patients
• Communicates with patients and informs them of referral status
• Requests consult notes once patient has been seen by specialist and closes referrals upon receipt.
• Communicates with Specialist regarding referral needs.
• Follows up on referrals with specialty providers and patients.
• Obtains ongoing knowledge, documentation, and updates of appropriate referral resources, required forms and key contact persons
• Reviews and assesses medical records for referral processing.
• Tracks and processes referral using NextGen Diagnostics and Referrals sections in the A/P section of the SOAP note.
• Prioritizes and processes referrals by urgency or PCP request.
• Completes referral data tracking for Quality Assurance programs.
• Complies with all state and federal laws and regulations, as they pertain to position including; HIPAA, sexual harassment, Scope of Practice, OSHA etc.
• Other duties as assigned.

Skills and Abilities:

• Excellent computer skills, preferably with Windows, including Microsoft Office Suite
• Excellent telephone and communication skills
• Must possess excellent organizational, writing, and verbal skills.
• Ability to work independently, set priorities, and work well under pressure.
• Ability to maintain a high degree of confidentiality

Schedule: Monday - Friday, 8am to 5pm, 1 hour lunch

Contract Term: 6 month contract with ability to be hired on direct at the end dependent on performance

Pay: Pay range is based on experience in referrals

Job Types: Full-time, Contract

Pay: $22.00 - $24.00 per hour

Expected hours: 40 per week

Application Question(s):

• Can you interview in person on 12/11 or 12/12?
• Can you start on 12/30?

Experience:

• referrals, prior authorization or medical office: 1 year (Required)
• EMR systems: 1 year (Required)

Work Location: In person

Salary : $22 - $24