Lead Referral Coordinator, Full Time (Bilingual Spanish) at St Jude Neighborhood Health Centers

Orange, California, United States -

Full Time

Start Date

Immediate

Expiry Date

26 Jun, 26

Salary

26.17

Posted On

28 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Bilingual Spanish, Leadership, Mentoring, Training, Referral Coordination, Workflow Management, Resource Provision, Problem Solving, Authorization Obtaining, Medical Necessity Documentation, Patient Communication, Record Preparation, Interpersonal Sensitivity, Time Management, Organization, Telephone Etiquette

Industry

Medical Practices

Description

Description Make an impact. Join our growing outpatient clinics, focused on improving the wellbeing of families. We are seeking a mission driven and dedicated Lead Referral Coordinator for our health center in Orange. Bilingual (English/Spanish) Lead/Mentor/Train team members within the Referral Coordination Team. Committed to providing high-quality care to underserved patients. Willingness to work as part of a collaborative team that includes social workers, physicians, nurse practitioners, and physicians. St. Jude Neighborhood Health Centers utilizes EPIC for our Electronic Medical Records (EMR) system. Who We Are. We are a collaborative community practice, with locations in Fullerton, Anaheim, Orange, and the High Desert. We believe that everyone should have access to high quality comprehensive medical care, regardless of their ability to pay. Our health centers use a team-based model of care that includes family medicine, obstetrics, women’s health, oral and vision care, preventative and educational health, mental health, patient advocacy, case management, and community health. Most of our patients live below 200% of the Federal Poverty level and are best served in Spanish. Through our origins with St. Joseph Health, we have provided care to low-income families since the 1980s, maintaining a commitment to serving our most vulnerable neighbors with high-quality, nationally recognized care. Our work is rooted in our values of Justice, Excellence, Dignity, and Compassion. Essential Functions (What You Do). Acts as a liaison between Medical Operations Management and the Referral Coordination team. Assign tasks and the coordination of workflows between all of the Orange County sites. Serve as Lead to the Referral Coordination team ensuring the timely processing of referrals occurs across all sites. Serves as a point of contact for the Referral Coordination team by providing additional resources, best practices and assistance in creating solutions when faced with challenging circumstances. Obtain authorization for referrals to specialty care and other services from CalOptima, IEHP, Medi-Cal insured patients and facilitate access to care for those without health insurance coverage. Gather information to support medical necessity of requested referral to authorized Specialist. Obtain appointment with pre-authorized specialist and contact patient. Prepare patient records and fax to Specialist’s office in readiness for the appointment Obtain patient records following visit with specialist Fax order to Radiology Providers Provide patients with referral status updates, appointment information, and procedure instructions Arrange transportation and interpreter services if needed Obtain results and reports and distribute them to providers for review Pay Range: $24.00 - $26.49 per hour Healthcare & Childcare Benefits: available first of the month following start date Medical (Blue Shield Trio HMO & PPO) Dental (Guardian PPO) Vision (Guardian PPO/VSP) FSA - Pre-tax benefit for health care expenses FSA Dependent Care - Pre-tax benefit to put toward childcare or other dependent expenses Mental Health - Employee Assistance Program & access to meditation resources through Calm Paid Time Off: Approximately 25 days off per year, based upon time off accrued and full-time hour Financial Wellness - Retirement & Investment: 401(k) (Vanguard) - eligible first of the month following 30 days, with company match after 1 year of service Profit-sharing Other Benefits: Pet Insurance Tuition Reimbursement Student Loan Forgiveness through National Health Service Corps and Public Service Loan Forgiveness Program St. Jude Neighborhood Health Centers is an equal opportunity employer. We are committed to developing a diverse workforce and cultivating an inclusive environment. We value diversity and believe that we are strengthened by the differences in our experiences, thinking, culture, and background. We strongly encourage applications from candidates who demonstrate that they can contribute to this goal. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status Requirements Education: High School Diploma or equivalent License/ Certifications: Medical Assistant Certification (Preferred.) Experience: One year’s experience with medical terminology, coding, and/or medical documentation. Previous experience as a Referral Coordinator or similar role. At least 6 months in a leadership/mentoring role. (Preferred.) Knowledge/Skills/Abilities: Operates all general business equipment and assists office with all clerical needs. Knowledge of grammar, spelling, coding and medical terminology. Proper telephone etiquette. Ability to read, understand, and follow oral and written instruction. General knowledge of healthcare insurance benefits and terminology. Demonstrates the ability to read, write and speak English and Spanish without an interpreter. Ability to sort and file by alphabet or terminal digit. Highly organized with strong time management skills, being able to perform simultaneous tasks and prioritize tasks effectively. Demonstrates interpersonal/cultural sensitivity and work with a diverse and often underserved population. Incumbents may need to travel between sites utilizing their personal vehicle.

Responsibilities

This role acts as a liaison between management and the Referral Coordination team, assigning tasks and coordinating workflows across all Orange County sites to ensure timely referral processing. Responsibilities include obtaining authorizations for specialty care, facilitating access to care, gathering supporting documentation, scheduling appointments, and distributing results to providers.