Referral Coordinator

Shasta Community Health Center; Anderson (CA); On-site; USD 30,000 - 45,000; Full time

Benefits offered by this job

Medical insurance

Vision insurance

403(b) retirement plan

Long-term disability

AD&D

Life insurance

Flexible spending account

Paid vacation

Paid holidays

CME stipend

Employee assistance program

Jury duty pay

Bereavement pay

Prescription discount

529 college savings

Educational reimbursement

Teledoc service

Job summary

Shasta Community Health Center in Anderson, CA, is seeking a Referral Coordinator to manage inbound, outbound, and in-house referrals for specialty care. Under supervision, you will review guidelines, contact patients and staff, and track referrals using the electronic referral system.

You will schedule appointments, obtain authorizations from insurers, coordinate care across plans, and communicate with clinicians.

Qualifications

• Minimum 1 year of healthcare-related experience in referrals, medical records, scheduling, or information technology within a hospital or clinic.
• Experience with Microsoft Office programs (Word, Excel, PowerPoint).
• NextGen experience is preferred.

Responsibilities

• Process referrals and scheduling authorizations promptly.
• Obtain authorizations from carriers via phone, written or electronic media.
• Schedule specialty care appointments as directed by the primary care physician.
• Coordinate care across health plans and contracts.
• Communicate referral criteria with clinicians.
• Track referral status and ensure reports are returned.

Skills

Discretion

Attention to detail

Organization

Teamwork

Communication

Insurance websites

Education

Associate degree in health information or related field

Tools

NextGen

Microsoft Office

Job description

• Location 2801 Silver St,Anderson, CA, 96007,United States
• Base Pay $22.00 - $32.50 / Hour
• Job Category Psvc
• Employee Type Regular Full-Time HNE

Description

Base Pay: $ 22.00 - $ 32.50 / hour

JOB SUMMARY

Under the supervision of the Health Information Services manager, the Referral Coordinator will work with staff, clinical teams, and patients to ensure the timely process of Inbound or Outbound or In-house referrals for specialty care. This will be accomplished by reviewing specialist guidelines for referrals, contacting appropriate patients, staff and outside agencies as needed, and tracking these results on an individual and group basis with the electronic referral system and assuring return reports and completion of specialty care.

JOB DUTIES AND RESPONSIBILITIES

• Receives and processes authorizations in a timely manner. Schedules all requests for referrals and treatment authorizations. Revising referrals when required based on availability and resources.
• Obtains authorizations from various insurance carriers via phone, in writing or electronic media.
• Schedules appointment for specialty care, special studies or other ancillary services as requested by the primary care physician.
• Coordinates care within the guidelines of multiple health plans, contracts or insurance types.
• Communicates referral criteria with clinicians
• Responds promptly to inquiries as to current status of authorization by assessing the request and evaluating the circumstances to provide the correct information.
• Initiates the appropriate documentation of requests from specialties offices for continued/ongoing care.
• Follows-up on missing documentation to obtain authorization or scheduling when appropriate. Record status of referrals.
• Uses various modules of the computer system to obtain information, schedule appointments, query information and obtain authorizations.
• Indexes incoming reports pertaining to referrals for assigned specialties.
• Sending out specialty reports for Inbound visits.

KNOWLEDGE, SKILLS, AND ABILITIES

• Ability to exercise discretion and independent judgment in a variety of decision-making scenarios
• Good attention to detail and ability to probe for information to fully understand the needs of the customer
• Strong organizational and prioritizing skills
• Ability to work within a team and to manage conflict
• Excellent written and verbal communication skills
• Use of Partnership and other insurance websites for processing authorizations and verifying eligibility.

EDUCATION & EXPERIENCE

• Minimum 1 year of healthcare related experience in the area(s) of direct patient care, medical records, patient registration, scheduling, claims and/or information technology within a hospital or clinic, or the equivalent in education and experience
• Experience with Microsoft Office programs (Word, Excel, Power Point)

PREFERRED QUALIFICATIONS

• Minimum associate’s degree in health information, business, or related field.
• Experience with NextGen

BENEFITS

• Competitive Wages
• Medical Insurance
• Vision Insurance
• 403 (b) Retirement Plan with matching employer contribution
• Long-term Disability coverage
• Accidental Death and Dismemberment
• Life Insurance
• Flexible Spending Account
• Paid Vacation
• Paid Holidays
• CME with stipend
• Employee Assistance Program
• Jury Duty Pay
• Bereavement Pay
• Prescription Discount Program
• 529 College Savings Plan
• Educational Reimbursement
• Free Teledoc service for benefit eligible employees

Shasta Community Health Center is an Equal Opportunity Employer