Referral Coordination Specialist

Adventist Health; San Luis Obispo (CA); On-site; USD 34,000 - 40,000; Full time

Job summary

Adventist Health Sierra Vista in San Luis Obispo, CA seeks a Referral Coordinator to manage referrals, verify third-party information, arrange appointments, and track progress. You will follow established procedures, verify authorizations, and communicate with providers and patients to ensure smooth referral workflows.

Responsibilities include coordinating insurance authorizations, scheduling appointments, and maintaining accurate EHR referral records while adhering to daily instructions and

Qualifications

• Education and Work Experience: Preferred.
• High School Education/GED or equivalent preferred.
• Associate's/Technical Degree or equivalent combination of education/related experience preferred.

Responsibilities

• Communicates with ordering providers and nursing regarding insurance authorizations, denials, peer-to-peer review requests and scheduling difficulties with referrals to providers.
• Takes telephone requests for authorizations. Prepares referral requests. Informs patients of appointment information and instructions.
• Maintains electronic health record (EHR) referral documentation to reflect actions on specific referrals (including adding incoming referrals not generated from the EHR).
• Schedules referral appointments with appropriate department or referred to provider. Tracks referral patient compliance and communicates with referring provider as necessary regarding patients refusing service and no-shows.
• Submits retroactive authorization requests as needed.
• Performs other job-related duties as assigned.

Education

High School Education/GED

Associate's/Technical Degree

Tools

EHR system

Job description

Adventist Health Sierra Vista in San Luis Obispo, CA seeks a Referral Coordinator to manage referrals, verify third-party information, arrange appointments, and track progress. You will follow established procedures, verify authorizations, and communicate with providers and patients to ensure smooth referral workflows.

Responsibilities include coordinating insurance authorizations, scheduling appointments, and maintaining accurate EHR referral records while adhering to daily instructions and