Established non-profit with over 700 employees serves 65,000 patients annually - and is continuing to expand their operations. Be a part of their impressive team’s growth as a Referral Coordinator! The Referral Coordinator is responsible for the coordination, processing, obtaining prior authorizations, and requesting reports for a variety of medical referrals for services/procedures as requested by medical providers. The Referral Coordinator will also collaborate with other referral staff, medical providers, and patient care support staff to effectively communicate and ensure successful tracking and coordination of referrals.
Monitors Electronic Health Record (EHR) to capture requests in real time.
Gathers information via EHR or from clinical team to complete pre-authorization/referral process.
Prepares and accurately processes referral and pre-authorization paperwork; ensures referrals are addressed timely, prioritizing urgent items appropriately.
Verifies insurance information and performs eligibility checks by telephone or electronically, for referral purposes.
Ensure complete tracking and follow-up on all referral requests and specialty report requests.
Answers, responds and documents phone calls, requests and questions from patients in a timely manner; reviews details and expectations about referrals and status updates with patients.
Ensures proper use of CPT and ICD codes to meet the requirements of third party payers and specialty clinics to ensure minimal delay in securing referral appointments or pre-authorizations.
Utilizes EHR functions and/or other software systems to document all pertinent referral or Patient Health Information (PHI).
Schedules referral appointments directly on behalf of patients, as needed.
Tracks referrals utilizing the EHR or other established system.
Maintains confidentiality of PHI by following all applicable Health Insurance Portability and Accountability Act (HIPAA) regulations.
High school diploma or GED equivalent required.
At least one year of experience as a Medical Receptionist or Medical Assistant (MA) in an outpatient setting, or in medical case management. Desires two years of referral coordination or medical assisting experience.
Bilingual in English and Spanish.
Knowledge of medical terminology and procedures, and CPT and ICD codes.
Availability to work outside of normal shifts (i.e., 8am to 5pm and on Saturdays).
Computer literacy working with PC-based software applications and proficiency with the Microsoft Office suite, including Outlook, Word and Excel.
May be required to travel between sites and locations therefore California Driver’s License, proof of insurance and clean driving record required.
Ability to work collaboratively with patients, medical staff, co-workers and the public and ability to work independently and as part of a team.
Ability to work with a high attention to detail and accuracy.
Exceptional phone and customer service skills; Strong verbal and written communication, interpersonal, organizational, problem-solving, time management, and multi-tasking skills.
Medical Assistant certification a plus.
Attractive benefits include health, dental, and life insurance, as well as a savings and investment plan with company matching contributions! Apply today and make a difference in your career!
On Call Staffing Solutions, Inc. is an Equal Opportunity Employer – Minority/Female/Disability/Veterans