Referral Coordinator (Bilingual/Spanish)

APLA Health; Los Angeles (CA); On-site; USD 45,000 - 60,000; Full time

Job summary

APLA Health in Los Angeles is seeking a referral coordinator to manage referrals from PCPs to outside providers, obtain authorizations, and coordinate follow-ups and imaging. You will communicate with PCPs, serve as a liaison with outside agencies, and ensure timely receipt of consult notes and test results while maintaining accurate records.

Requirements include a high school diploma or GED, proficiency with Microsoft Office and electronic health records, and bilingual Spanish/English;

Qualifications

• High school diploma or GED required.
• Proficient with Microsoft Office and electronic health records.
• Bilingual in Spanish and English.

Responsibilities

• Coordinate and manage referrals from PCPs to outside providers, including authorizations and follow-ups.
• Facilitate receipt of consult notes and test results after referrals.
• Communicate delays or barriers to care with PCPs and clinic leadership.
• Serve as liaison to outside agencies and partners.
• Maintain logs for calls, imaging, voicemails, and faxes; ensure HIPAA compliance.

Skills

Bilingual Spanish/English

Effective communication

Microsoft Office

Electronic Health Records

CPT and ICD-9 knowledge

Insurance & managed care

HIPAA compliance

Education

High School Diploma or GED

Tools

Microsoft Office

Electronic Health Records

Job description

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 MAY BE ASSIGNED TO MEET BUSINESS NEEDS.REQUIREMENTS:Training and Experience: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’sAbility to:Prioritized work load and maintained an organized work spaceCommunicate 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: minority/female/disability/transgender/veteran.