Referrals Coordinator

Adelante Healthcare; Phoenix (AZ); On-site; USD 42,000 - 62,000; Full time

Job summary

Adelante Healthcare Center Support Office in Phoenix, AZ is seeking a Referrals Coordinator to lead the Referrals department, mentor staff, and ensure smooth patient flow for referrals. The role acts as a liaison between internal and external health center staff, site leaders, Trainer/Auditor, health plan representatives, and other professionals.

You will manage authorization requests, maintain accurate records in the Patient Management System, and support staff development in a fast-paced

Qualifications

• High school diploma or GED required.
• Minimum one year of supervisory or leadership experience in a medical office.
• Minimum six months referral experience.
• Proficient in Microsoft Office and patient management systems.
• Excellent written and verbal communication skills.
• Able to prioritize and work independently in a fast-paced environment.
• Valid Level One Fingerprint Clearance Card for behavioral health locations.

Responsibilities

• Provide leadership, guidance, and training to the Referrals staff.
• Assure efficient patient flow of referrals is maintained.
• Obtain patient information and enter accurately into computer system.
• Obtain prior authorizations and document referrals in the medical record.
• Verify third party payer coverage and billing information-insurance, etc.
• Participate with interviewing and selection of prospective employees.
• Monitor attendance records and coordinate vacation scheduling.
• Maintain relationships with insurance plans/AHCCCS representatives and update staff on new developments as needed.

Education

High school diploma or GED

Tools

Microsoft Office Suite

Patient Management System

Job description

# Referrals CoordinatorAdelante Healthcare Center Support Office - Phoenix, AZ 85012## Description**POSITION SUMMARY**The Referral Coordinator is responsible for maintaining a caring and receptive patient environment, and an effective, efficient, and productive Referrals department. Entry-level leadership role, responsible for providing mentorship, guidance and training of the Patient Support Center referral staff. The Referrals Coordinator will act as the liaison between internal and external health center staff, site leaders, Trainer/Auditor, health plan representatives, and other professional, technical and managerial staff. The Referrals Coordinator will be proficient in the responsibilities of the Associate Referrals Representative, Referral Representative, and Senior Referral Representative.**EXPECTATIONS**Every Adelante Leader will strive to maximize the performance and contribution of each team member to Adelante Healthcare and the community that we serve every day. Leaders will set clear performance expectations, provide on-going feedback and coaching to improve results and outcomes and provide regular performance evaluations. Leaders are also expected to work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and model for all other employees the highest standards of personal integrity, professionalism, and competence.**OUR CORE VALUES*** Compassion* Excellence* Integrity* Learning* Respect* Sustainability## Qualifications**ESSENTIAL SKILLS AND EXPERIENCE:*** High school diploma (or GED) from an accredited institution plus advanced training* Minimum one (1) year of supervisory or leadership experience in a medical office team and/or approved development plan* Minimum of six (6) months referral experience* Demonstrated understanding of clinical methods and techniques used in record keeping systems* Demonstrated ability in implementing the principles and practices of supervision* Advanced computer efficiency in Microsoft Office suite (Word, Excel, PowerPoint, Outlook) and experience in Patient Management System* Professional written communication skills* Ability to perform a variety of assignments requiring moderate exercise of independent judgment* Regular and reliable attendance is required* Outstanding interpersonal, communication, and team building skills required* Ability to work effectively in a fast-paced environment and organization* Prioritization and being able to work independently* Ability to speak in a clear and understandable manner and write legibly* Ability to meet and deal effectively with outside clients, associates and patients* Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations**POSITION REPONSIBILITIES/ESSENTIAL:*** Provide leadership, guidance, and training to the Referrals department staff* Assure efficient patient flow of referrals is maintained* Assure compliance with internal procedures* Obtain patient information and enter accurately into computer system* Obtain prior authorizations and document referrals in the medical record* Verify third party payer coverage and billing information-insurance, etc.* Participate with interviewing and selection of prospective employees.* Provide orientation and on-going skill development for Patient Support Referrals team.* Provide staffing for vacant positions as needed. When no other coverage is available, provide coverage for referrals positions* Assign work tasks, assure coverage for breaks, meals, meeting, absences, and coordinate vacation scheduling. Review and certify correctness of time keeping records. Monitor attendance records* Maintain a working relationship with insurance plans/AHCCCS representatives and update staff on new developments as needed* Assure that quality control monitoring is in compliance with regulatory agencies* May participate in quality management (QM) monitoring and performance improvement (PI), including but not limited to, assisting with the development of office procedures**NONESSENTIAL SKILLS AND EXPERIENCE:*** Bilingual (Spanish and English)* Prior coaching and monitoring experience is desirable and proven ability to interact with individuals at all levels of the organization**Additional Duties and Responsibilities*** Other duties as requested or assigned**PCMH**All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team-based model to promote wellness and improve health outcomes.**Adherence to Compliance and Code of Conduct**All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.**PHYSICAL DEMANDS AND WORK ENVIRONMENT**The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.**Physical demands:** While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The employee must frequently lift and/or move up to 25 pounds without assistance and may occasionally be required to lift or move up to 50 pounds with assistance. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.**Work environment:** While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites. The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area. In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities. Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises. In compliance with *EEOC 29 CFR part 1630*, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.