Referral Coordinator

Paycom - ATS; Los Angeles (CA); On-site; USD 34,000 - 37,000; Full time

Job summary

Paycom - ATS seeks a referral coordinator at APLA Health Center Mid Wilshire in Los Angeles, CA. The role handles referrals, health follow-ups, and care coordination under supervision of licensed clinicians.

Responsibilities include processing authorizations, collecting notes and test results, and communicating with PCPs about delays. Strong client service and HIPAA adherence are essential in a fast-paced health care environment.

Qualifications

• High school diploma or GED.
• Proficient use of Microsoft Office and electronic health records.
• Bilingual in Spanish/English required.
• Knowledge of CPT and ICD-9 codes.
• Knowledge of insurances, managed care and IPA’s.

Responsibilities

• Coordinate and manage authorizations for referrals from primary care providers to outside specialists and facilities.
• Facilitate receipt of consult notes and test results after referrals.
• Inform PCPs of delays or barriers to patient care.
• Serve as clinic liaison to outside agencies and partners.
• Report calls and logs to supervisor as needed.
• Coordinate and track imaging, voicemails, and incoming faxes.
• Maintain confidentiality per HIPAA and protect patient information.

Skills

Microsoft Office

Electronic Health Records

Bilingual Spanish/English

Education

High School Diploma or GED

Tools

Electronic Health Records (EHR)

Job description

Job Details

Job Location: APLA Health Center Mid Wilshire - Los Angeles, CA 90036, Position Type: Full Time, Education Level: High School, Salary Range: $25.00 - $27.29 Hourly, Travel Percentage: None, Job Shift: Day, Job Category: Health Care

POSITION SUMMARY

The referral coordinator will provide patient care services under the direction of a licensed health care provider. This includes handling referrals, health follow-ups and coordination services.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Coordinates and manages authorizations for referrals from our primary care providers to outside providers, including to medical specialists and outside facilities for special testing/imaging in a timely manner.
• Facilitates and ensures the receipt of consult/specialty notes and test results after a patient has been referred to an outside provider in a timely manner.
• Communicates with primary care provider (PCP) to inform of any delays or barriers to patients care.
• Serves as clinic liaison to outside agencies and partners.
• Communicates with Supervisor when unable to process all referrals or follow-ups to avoid delays.
• Involve in all quality improvement and other team projects actively.
• Reporting of incoming and outgoing calls logs to the supervisor as needed.
• Coordinator and tracking imaging, voicemails and incoming faxes inside and outside facilities.

Other Duties

OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

Qualifications

High school diploma or GED. Proficient use of Microsoft Office and electronic health records. Bilingual in Spanish/ English required.

Knowledge of:

• Basic medical terminology and patient care methods, techniques and healthcare background.
• Methods and standard procedures for the maintenance of medical records.
• Safety policies and safe practices applicable to the work.
• Effective communication skills; general computer knowledge.
• Knowledgeable with CPT and ICD-9 codes.
• Knowledge of insurances, managed care and IPA’s

Ability to:

• Prioritized work load and maintained an organized work space
• Communicate effectively with people of various educational, socio-economic and cultural backgrounds.
• Understand and follow written and oral instructions from physicians, mid-level providers and nurses and apply departmental policies, guidelines and protocols applicable to APLA.
• Communicate clearly and effectively, both orally and in writing.
• Operate a computer and standard business software.
• Maintain highly confidential personal and medical information in accordance to HIPAA regulations.
• Exercise tact, objectivity, sensitivity and sound judgment in dealing with a variety of people in a variety of sensitive situations.
• Establish and maintain effective working relationships with other staff members, patients and others encountered in the course of work.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.

COVID-19 and Booster or Medical/ Religious Exemption required.

Equal Opportunity Employer

Equal Opportunity Employer: minority/female/disability/transgender/veteran.