Referral Associate, Full Time, Day Shift at Adventist Health

Clearlake, California, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Sep, 26

Salary

29.85

Posted On

03 Jun, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Communication Skills, Medical Records Procurement, Diagnostic Coding, Patient Care Coordination, Microsoft Excel, Word Processing, POMS, HIPAA Compliance, Data Collection, Insurance Verification

Industry

Hospitals and Health Care

Description

Job Requirements: Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein. Job Summary * Exempt: No * The referral associate is a well-organized individual with excellent communication skills to promote the care continuum to referral sources and the community at large resulting in efficient patient care flow. This position requires an in-depth understanding of services offered both through the Adventist Health continuum of care as well as out-sourced referrals in the greater medical community. The referral associate is the primary contact between the patient and the medical community to which they are referred. This individual works under general supervision of the nursing coordinator, physicians and RN, in a controlled patient care area and performs a variety of duties. This position is represented by RCHEA. Standards of Behavior Line of Responsibility and Authority * LINE OF AUTHORITY: Referral Associate (Outpatient) - Clinical Manager/Practice Administrator Professionalism and Self-Development Education and Qualifications * EDUCATION AND EXPERIENCE: Clinic/medical office experience preferred * EDUCATION AND EXPERIENCE: High School graduate or GED preferred * QUALIFICATIONS: Excellent working knowledge of excel, word processing software, POMS and email calendars Physical Requirements/Work Environment/Use of Senses and Communications Skills * ACCOMMODATIONS: The physical demands and work environment characteristics described here are representative of those an employee typically encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the key responsibilities and essential functions * CONFIDENTIALITY: Employee must conform with all HIPAA and other confidentiality regulations as required by the job, department, or hospital * EQUIPMENT USED: Cell phone * EQUIPMENT USED: General office equipment, including computer, printer, calculator, copy machine and other office equipment * PHYSICAL REQUIREMENTS (A): This job requires frequent bending, squatting, kneeling, climbing, reaching above shoulders, sitting, walking inclines and declines, standing, talking, hearing, and performing repetitive hand motions. Vision requirements include close vision and the ability to adjust focus. The employee will occasionally lift boxes and/or supplies weighing up to 25 pounds. The employee must demonstrate lifting a 25-pound box from the floor. * POTENTIAL EXPOSURE TO BLOOD & BODY FLUIDS: Category 3 for potential exposure to blood/body fluids. (Does not require the performance of procedures or other tasks in the work routine that involve exposure to blood, body fluids or tissues, and the assisting in the cases of emergency medical care or first aid is not a requirement or employment. Tasks that involve handling of implements or utensils, use of the public or shared bathroom facilities, telephones, and personal contacts such as handshaking, are all considered Category 3 tasks.) Job Roles Referral Associate (Outpatient) (AHCL) * Acts as back office information center for fax, phone, mail, diagnostic reports and all aspects of ongoing clinical care. Completes data collection, input, reporting and general program support. * Assists in the coordination of patient care in the area of medical records procurement * Ensures patients have achieved specialty service referral. Resolves pre-certification and case-related concerns prior to the referral appointment. * Gathers pertinent information from insurance carriers, financial counselors and other ancillary staff to make certain the referral can be taken to completion. * Identifies in-house, local and regional medical and social resources. * Maintains a records program for documentation of the referral process. * Maintains and meets expectations on time for all competencies, certifications and education requirements as outlined by local administration, Adventist Health (AH), The Joint Commission (TJC), Centers for Medicate and Medicaid Services (CMS), and all other regulatory agencies. * Performs diagnostic coding relative to the referral process, ICD-9 and CPT-Plus * Processes completely all inside and outside referrals. * Willingly performs other duties and innovations as assigned. Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Responsibilities

The Referral Associate manages the flow of patient referrals between the healthcare system and the broader medical community. Key duties include coordinating medical records, processing diagnostic coding, and ensuring pre-certification for specialty services.