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Referral Coordinator (JO-2110-137892)

Company: Ultimate Staffing Services
Location: Cathedral City
Posted on: November 22, 2021

Job Description:

Referral Coordinator
Location: Cathedral City, CA 92234
Hours: Monday - Friday 8am - 5pm
Pay: $17 - $19/hr DOE

Referral Coordinator plays a key role as part of the clinical team. The referral clerk is responsible for assuring continuity of care for those patients with a referral order, by coordinating timely specialty appointments. The referral process is a multistep process and the referral care coordinator is responsible to make sure that the process is following its course. The referral care coordinator works as a liaison between the primary care provider, insurance companies, specialty providers, diagnostic services, and patient(s). The Referral Care Coordinator is responsible for data entry of referrals information and documentation of all referral interventions.

Essential Duties and Responsibilities:
1. Process referrals according to level of urgency.
2. Data entry of all new referrals into the i2i referral module; documentation of all interventions to include, date and time.
3. Documents necessary information pertaining to the referral order in the patient's chart or EHR
4. Submits authorization to insurances, tracks the status of the authorization. Once approved, documents procedure approval number and authorization period in the referral tracking system.
5. Coordinates between patient and specialty provider to schedule appointment. Provides special instructions if needed.
6. Communicates with primary care provider to inform of any delays or barriers to care
7. Communicate with patient if any delays in scheduling appointment
8. Monitors patient compliance and re-schedules appointments as needed
9. Responsible to track reports and to make sure that all reports are received in a timely manner. Close referrals once the report is received
10. Works with the Primary Care Provider to work on re-processing authorization denials
11. Case Management of more complex cases, with the end goal of scheduling timely referral appointments.
12. Manage referrals at every stage to avoid backlog.
13. Collaborate with Care Coordinator Specialist to identify patients that could benefit from program enrollment due to their conditions or needs.
14. Comply with referral management policy.
15. Send letters to patients when unable to reach by phone; handle all returned letters.

Qualifications

  • Must be fully vaccinated for COVID
    • High School Diploma or GED
      • Associates or Bachelor's degree a plus
        • Strong Customer Service experience
          • Computer proficient
            • Spanish Speaking a plus, not required
              • Previous medical office experience a plus
                We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Keywords: Ultimate Staffing Services, Cathedral City , Referral Coordinator (JO-2110-137892), Other , Cathedral City, California

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