Sacramento Native American Health Center, Inc.
Referral Coordinator
Sacramento Native American Health Center, Inc., Sacramento, California, United States, 95828
Referral Coordinator
Job Title:
Referral Coordinator
Department:
Medical
Reports to:
Referrals Manager
FTE:
100% Full Time
Exempt/Non-Exempt:
Non-Exempt
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
Seniority Level Entry level
Employment Type Full-time
Job Function Health Care Provider
Industries Hospitals and Health Care
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Referral Coordinator
Department:
Medical
Reports to:
Referrals Manager
FTE:
100% Full Time
Exempt/Non-Exempt:
Non-Exempt
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
Seniority Level Entry level
Employment Type Full-time
Job Function Health Care Provider
Industries Hospitals and Health Care
#J-18808-Ljbffr