REFERRAL COORDINATOR

Colusamedcenter; Colusa, Northern (CA, KY); Hybrid; USD 36,000 - 48,000; Full time

Job summary

Colusamedcenter is seeking a Referral Coordinator for its Rural Health Clinics team. The role handles referrals, greets patients, answers phones, schedules appointments, and maintains patient charts with clerical duties. Backup receptionist responsibilities may apply.

The position requires 6 months to 1 year of related experience, ability to read English, and high school diploma or GED; bilingual Spanish preferred. This is a full-time, non-exempt role reporting to the Clinics Manager.

Qualifications

• Six months to one year of related experience and/or training.
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.
• Ability to read and write English.
• Bi-lingual (Spanish preferred).
• High School graduate or G.E.D. equivalent.
• Must be able to perform duties with minimum supervision.

Responsibilities

• Takes telephone request for authorizations.
• Prepares referral requests.
• Track referral process, utilizing a tracking log. Responsible for insuring referral correspondence is received and reviewed by provider.
• Generates reports that summarize referrals and authorization activity.
• Handles all incoming telephone calls and directs them to appropriate personnel.
• Makes future appointments and answers all inquiries.
• Completes various agency forms and records.
• Types and maintains all patient medical files, filing in correct location of the patient chart.
• Inventories and orders office supplies regularly.
• Utilizes company supplies efficiently.
• Reviews patient chart for accuracy of billing information, verifying insurance information, accepting co-payments and running POS on Medi‑cal/HAP cards.
• Ensures timely distribution of paperwork to involved areas of the hospital.
• Maintains confidentiality of patient and facility records.
• Greets guests courteously and acknowledges presence.
• Prioritizes urgent needs and processes paperwork accordingly.
• Confirms appointments daily.
• Completes forms for CHDP, HAP and CDP programs.
• Charts all actions timely and accurately.
• Initiates emergency procedures when needed following policies.
• Assists in writing policies for medical records function and audits.
• Answers telephones and routes calls to appropriate personnel.
• Researches ICD-9/CPT codes for authorization to refer patient for care.
• Develops office forms and procedures with management.
• Transport of medications as needed between hospital pharmacy and clinics.
• Greet patients and assist with registration and health information forms.
• Performs clerical duties and filing as assigned.
• Review patient charts for billing accuracy and compliance with consent and third-party requirements.
• Distribute paperwork to Business Office, physician offices, and other departments.
• Enforce hospital collection and insurance verification policies.
• Translate for patients and/or staff.
• Register patients into HMS system.
• Obtain prior authorizations.
• Collect money from patients and issue receipts.

Skills

Bilingual Spanish

English literacy

Receptionist duties

Education

High School diploma or GED

Job description

Description

POSITION TITLE: Referral Coordinator

DEPARTMENT: Rural Health Clinics

EMPLOYEE REPORTS TO: Clinics Manager

FLSA STATUS: Non-Exempt

EMPLOYMENT STATUS: Full-time

JOB SUMMARY:

The Referral Coordinator is responsible for handling referrals within the rural health clinics. Receptionist responsibilities include, but not limited to, greeting patients, answering phones, making appointments, maintaining patient charts and organizing all clerical duties. Act as receptionist on a backup basis.

Requirements

QUALIFICATIONS:

Six months to one year of related experience and/or training; or equivalent combination of education and experience. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to read and write English. Bi-lingual (Spanish preferred). High School graduate or G.E.D. equivalent. Must be able to perform duties with minimum supervision.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Takes telephone request for authorizations.


2. Prepares referral requests.


3. Track referral process, utilizing a tracking log. Responsible for insuring referral correspondence is received and reviewed by provider.


4. Generates reports that summarize referrals and authorization activity.


5. Handles all incoming telephone calls and exercises judgment as to the urgency or other nature of the calls and directs them to appropriate personnel. Answers the telephone professionally, identifying self and department. Handles telephone information requests with courtesy, accuracy and respect for confidentiality.


6. Makes future appointments and answers all inquiries


7. Completes various agency forms and records


8. Types and maintains all patient medical files, making sure that all documents are filed in the correct location of the patient chart.


9. Inventories and orders all offices supplies regularly


10. Utilizes company supplies efficiently.


11. Reviews patient chart for accuracy of billing information, verifying correct insurance information, accepting co-payments and running POS on all Medi-cal/Hap cards.


12. Assures timely distribution of all paperwork to all involved areas of the hospital.


13. Maintains the confidentiality of patient and facility records and information.


14. Immediately greets/acknowledges guest’s presence in a courteous and caring manner.


15. Demonstrates the ability to prioritize and deal with immediate guest needs first, and paperwork processing second.


16. Confirms appointments on a daily basis.


17. Demonstrates ability to accurately complete all necessary forms for CHDP, HAP and CDP programs.


18. Charts all action taken accurately and timely.


19. Initiates procedures for emergency care that require immediate action, following pertinent policies/procedures.


20. Assists in writing policies and procedures for medical records function and works with manager to complete policies and procedures for total medical records/billing plan including audits.


21. Answers telephones, directs call to appropriate personnel and takes patient referral information.


22. Researches appropriate ICD-9/CPT codes for authorization to refer patient for care.


23. Cooperates in developing office forms and procedures.


24. Employee may transport medication, including expired medications, to and from the hospital pharmacy to the clinics.


25. Greets patients and assists them with registration forms and health information forms.


26. Performs clerical duties, i.e., photocopying, A-Z filing, as well as other duties assigned.


27. Review patient chart for accuracy of billing information and ensure medical/legal compliance with Consent for Treatment and third-party requirements, such as pre-admission authorizations and second surgical opinions.


28. Assure timely distribution of all paperwork to all involved areas, such as Business Office billing and physician’s offices.


29. Ensure enforcement of hospital collection and insurance verification policies.


30. Translate for patients and/or staff.


31. Register patients into the HMS system.


32. Obtain prior authorizations.


33. Collect money from patients and distribute receipts.


34. Must be able to demonstrate the knowledge and skill necessary to provide care and/or services appropriate to the age of the patients served in his/hers assigned area. The skills and knowledge needed to provide such care may be gained through education, training or experience.