What are the responsibilities and job description for the Referrals Coordinator position at One Community Health - CA?
Referrals Coordinator
This position will support the goals of this mission by providing an environment of intrinsic good will for the practice while providing optimum services to patients and client through the referral process.
This position is on-site in Midtown Sacramento, CA (95811).
Essential Functions
Process Referrals
- Coordinate the authorization and referral process for each assigned referral.
- Process referrals for requested services, ensuring timely and thorough completion.
- Monitor referral request for completeness and take appropriate steps to review, request and obtain additional information when requested services are incomplete or inconsistent with scope of service.
Documentation
- Provide accurate data entry of referral or authorization information into the electronic medical record.
- Send complete information to patient' insurance (when applicable) and referring specialist in order to coordinate referral.
- Consistently utilize the department's documentation protocols.
Customer Service
- Demonstrate a caring and interested manner.
- Listen carefully to patient's questions and concerns.
- Handle telephone calls in a friendly, courteous and sensitive manner.
- Return calls and follows up in timely manner.
- Interacts collaboratively with clinical staff, other ancillary departments, and outside entities (specialist office, insurances, etc.).
- Resolves differences in a spirit of cooperation and creates solutions, which benefits all parties, especially clinic patients.
Referral Tracking and Follow up
- Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
- Ensure referral is completed according to the department guidelines and within the appropriate timeframe.
- Make outreach efforts to insurances, patient, specialist office and care team as set forth by department guideline and clinical priorities.
Additional Duties
- Assist patients in problem solving potential issues related to the health care system, financial or social barriers.
- Other duties as assigned
Education/Experience Required
- High School Diploma or equivalent.
- 1-2 years of Referrals Management/care coordination experience.
Preferred
- Medical Assistant experience.
- One Community Health serves a widely diverse patient population with a rich blend of races, ethnicities, cultures, ages, religions, disabilities, sexual orientations, gender identities, and socioeconomic backgrounds. Individuals with life experience in these areas contribute to our ability to serve this population more effectively.
Reasonable Accommodations
One Community Health endorses and supports the Americans with Disabilities Act of 1990 (ADA) and the California Fair Employment and Housing Act (FEHA) and is committed to providing reasonable accommodations to qualified individuals with disabilities who are applicants or employees who need accommodations. If you require and accommodation due to a disability to complete this application or you are experiencing difficulty submitting your application, please contact us at ochhumanresources@onecommunityhealth.com
Our Benefits
For information on the comprehensive benefits we provide, please visit: https://onecommunityhealth.com/careers/benefits/
Additional Information:
We only employ US citizens and non-US citizens authorized to work in the United States in compliance with federal law.
Salary : $25 - $32
