Referral Coordinator VV (Full Time, Days) at Northbay

Vacaville, California, United States -

Full Time

Start Date

Immediate

Expiry Date

23 Jul, 26

Salary

33.37

Posted On

24 Apr, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Referral coordination, Medical terminology, Insurance verification, Patient scheduling, Electronic health record, ICD-10 coding, CPT-4 coding, Communication skills, Multi-tasking, Data entry, Customer service, Microsoft Word, Windows, Clinical documentation, Payer information management

Industry

Hospitals and Health Care

Description

At NorthBay Health, the Referral Coordinator coordinates the referral process for patients and physicians utilizing access to care standards for all consults. Responsible to secure accurate patient demographics, authorizations and payer information in a timely manner to ensure patient care is not delayed. Verifies and documents eligibility and benefits for patient’s specific payers. Ensures appropriate documentation is in the patient’s Electronic Health Record (EHR). Schedules patient appointments and procedures as appropriate, and coordinates transfer of necessary records. Functions as the liaison to physicians and office staff, to expedite department/specialty access to care. Reviews and appropriately schedules patient appointments utilizing Department Specific appointment protocols. PRIMARY JOB DUTIES * Gathers, updates and verifies insurance/payer information and ensures accurate entry into the practice management system. * Verifies insurance type and eligibility for care. * Prioritizes referrals based on clinical need as indicated by the ordering provider, and the Medical Services Request Form (MSR). * Completes, and documents, referral / scheduling process for all referrals for initial consult visits, as requested by the ordering provider (includes patient contacts, closure of referral, correspondence notification to PCP, as appropriate). * Observes provider schedules to ensure appointments are booked for correct appointment type and correct time allocation. * Schedules appointments for other specialty referrals and/or other services/procedures. Delivers appropriate information (office visits, labs, radiology reports, etc.) via fax, or in person to the specialty provider. * Schedules appointments and procedures for referrals for numerous Multi-faceted Specialty Care Offices as required. * Obtains additional information from referring provider when requested by consulting provider. * Assists in collection and reporting of statistical data, as requested. * Determines priorities for completion of support functions, tasks and projects. * Provides applicable basic education to patients to optimize the opportunity for customer satisfaction. * Provides assistance to Patient Services Representatives (PSR) and Medical Assistants as needed with referral duties. * Backs up PSR positions as needed. * Consistently demonstrates and promotes a sense of team within the immediate and extended work groups. * Establishes and maintains effective communication with physicians, co-workers and patients. * Participates in peer-based evaluations of other staff in specified areas as needed * Participates in educational programs, staff meetings and in-service meetings. * Performs other job-related duties and responsibilities, as assigned. * Maintains current competency files per Standards and annual requirements Interpersonal Skills and Values Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care. Why NorthBay Health NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics. We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions. We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities. NorthBay Health Benefits Options NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance. Compensation Structure NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements. Remote Work Disclosure NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs. Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States. Notice to Recruitment Agencies NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings. More Information Visit NorthBay Health Careers for recruitment FAQs [https://www.northbay.org/careers/recruitment-faq.html] and additional information.

Responsibilities

The Referral Coordinator manages the referral process by verifying insurance eligibility, securing authorizations, and ensuring accurate documentation in the Electronic Health Record. They act as a liaison between physicians and patients to schedule appointments and facilitate the transfer of necessary medical records.