Bilingual Referral Coordinator/Medical Records

Bilingual Referral Coordinator/Medical Records

Job Category: Clinica Family Health

Requisition Number: REFER004551

Posted: April 10, 2025

Employment Type: Full-Time

Work Location: On-site

Locations

Showing 1 location

WESTMINSTER
8510 Bryant St.
Suite 200
Westminster, CO 80031, USA

Benefits

• Vacation, sick, and extended illness time off options
• Dedication to Justice, Equity, Diversity, Inclusion, and integrated healthcare
• Open communication with leadership and mission-focused engagement
• Training and growth opportunities with a supportive team invested in your success

Compensation: Approximately $21.00 per hour. All individual pay rates are calculated based on the candidate's experience and internal equity.

Overview of Role:

*Must be bilingual in Spanish and English*

**This Position is a combination of both Medical Records and Referral Coordinator**

***Will learn one position at a time***

Assure an effective and efficient process is available for patients who need access to specialty care. The Referral Case Manager is responsible for maintaining up-to-date knowledge of the managed care referrals process, specialty programs, and state rules and regulations for Medicaid, Medicare, and CHP Plus. There will also be the opportunity to assist with organizational development to maintain an effective referral process, ensure proper data collection, and create necessary reports.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Process referrals for managed care plans, specialty programs such as CCHN, to receive authorization and schedule needed appointments.
• Maintain up-to-date knowledge of managed care referrals process, specialty programs, and state rules and regulations for Medicaid, Medicare, and CHP Plus.
• Provide case management services to assure all needed information is obtained to facilitate an effective referral.
• Provide case management for all chronic diseases and preventative programs as requested.
• Update and monitor all referrals being tracked per the timeline specified in the referral procedure.
• Communicate with providers regarding pending referrals and issues pertaining to processing requested referrals.
• Collect data and write reports as requested.
• Assist with organizational development to maintain an effective referral process.
• Provide information/training to the clinic staff regarding changes in referral process, change in no payer source referral, and state rules and regulation changes.
• Work at another site as deemed necessary by the Clinic Director.
• Provide superb customer service to all customers (coworkers, outside customers).
• Request support from professional staff when needed.

POSITION QUALIFICATIONS:

Education and Experience:

• Bachelor’s degree in the human services field preferred, but not required.
• Or high school/GED and four years in referral processing.

Knowledge, Skills and Abilities:

• Excellent verbal and written communication skills in English and Spanish required.
• Ability to flourish independently and in a team management system.
• Sensitivity to low-income, ethnic minority community.
• Excellent organizational skills.
• Excellent tracking and documentation.

Clinica Family Health and Wellness is an Equal Opportunity Employer. We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, color, religion, national origin, sex, disability, sexual orientation, gender identity, or any other applicable status protected by federal, state, or local laws.