Referral Coordinator at SACRAMENTO NATIVE AMERICAN HEALTH CENTER INC

Sacramento, California, United States -

Full Time

Start Date

Immediate

Expiry Date

01 Apr, 26

Salary

24.0

Posted On

01 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Excellent Computer Skills, Telephone Skills, Communication Skills, Organizational Skills, Writing Skills, Verbal Skills, Confidentiality, Attention to Detail, Customer Service, Insurance Verification, Record Maintenance, Research

Industry

Hospitals and Health Care

Description

Job Details Job Location: 2020 J Street - Sacramento, CA 95814 Salary Range: $22.00 - $24.00 Hourly Job Title: Referral Coordinator Department: Medical Reports to: Referrals Manager FTE: 100% Full Time Exempt/Non-Exempt: Non-Exempt Employee Name: Position Summary: The Referral Coordinator (REFC) reports to the Referrals Manager and provides clerical and administrative support to the health center for the organization of internal and external referrals. This position will support the daily needs of all of the Referral Coordination for the medical department in the health center. The REFC is responsible for ensuring that all appointments, required documentation, insurance information and prior authorizations are established with specialty providers, insurance entities and patients. Essential Functions: Receives referral requests from providers and communicates with them, or a member of the patient’s care team, as needed Obtains prior authorizations for patient referrals to specialists and surgeries. Advises provider if authorization request is denied. Communicates with different insurance companies to process referrals appropriately and verifies eligibility of insurance for patients Requests appointments from appropriate specialty providers Verifies eligibility of insurance for patients Communicates with patients and informs them of referral status Requests consult notes once patient has been seen by specialist and closes referrals upon receipt. Communicates with Specialist regarding referral needs. Follows up on referrals with specialty providers and patients. Obtains ongoing knowledge, documentation, and updates of appropriate referral resources, required forms and key contact persons Reviews and assesses medical records for referral processing. Tracks and processes referral using NextGen Diagnostics and Referrals sections in the A/P section of the SOAP note. Prioritizes and processes referrals by urgency or PCP request. Completes referral data tracking for Quality Assurance programs. Complies with all state and federal laws and regulations, as they pertain to position including; HIPAA, sexual harassment, Scope of Practice, OSHA etc. Other duties as assigned. Skills and Abilities: Excellent computer skills, preferably with Windows, including Microsoft Office Suite Excellent telephone and communication skills Must possess excellent organizational, writing, and verbal skills. Ability to work independently, set priorities, and work well under pressure. Ability to maintain a high degree of confidentiality Competencies: Attention to Detail Customer Service Insurance Verification Record Maintenance Research Qualifications Minimum Qualifications: High School diploma or equivalent. Minimum of 1 year of experience in office setting Excellent computer and technology skills. Ability to communicate orally and in writing; professional demeanor and the ability to represent SNAHC in the community. Preferred Qualifications: Experience with NextGen EHR/PM software. Knowledge of Medi-Cal, Medicare, and managed care plans Knowledge of medical terminology and medical procedure terminology

Responsibilities

The Referral Coordinator provides clerical and administrative support for organizing internal and external referrals. This includes obtaining prior authorizations, communicating with insurance companies, and tracking referrals.