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$25/hr–$30/hr
Full-time
high school, professional certificate
Posted 41d ago
~40 hrs/week
Responsibilities
The Referral Coordinator manages the full referral life cycle between medical providers and specialists to ensure patients receive appropriate care. This includes processing referrals, securing insurance approvals, and acting as a system navigator for patients and families.
Requirements
Candidates must have a high school diploma or GED and be bilingual in English and Spanish, with 1-2 years of referral experience. A medical assistant certification is preferred.
Full job description
Job Summary
Referral Coordinator I is responsible for coordinating the care between the medical providers and the specialists to ensure that the patients are getting the appropriate care.
Duties/Responsibilities:
Responsible for processing the referrals submitted by health care providers in all referral queues.
Must complete the referral life cycle, submit-approve-notify patient-follow-up-secure medical records within the identified time periods.
Adhere to insurance requirements and closely communicate with clinicians for all clinical care needs to process a referral.
Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. This tracking may use an EHR database.
Ensure complete and accurate registration, including patient demographic and current insurance information.
Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
Review details and expectations about the referral with patients.
Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
Ensure that referrals are addressed in a timely manner.
Remind patients of scheduled appointments via mail or phone.
Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.
Any and all other duties as assigned.
Non-Essential Functions
As directed by the Referral Supervisor, performs other related and/or necessary tasks to achieve organizational and programmatic goals and objectives.
Professional Requirements
Adhere to dress code, appearance is neat and clean.
Maintain patient confidentiality at all times.
Report to work on time and as scheduled.
Maintain regulatory requirements, including all state, federal and local regulations.
Represent the organization in a positive and professional manner at all times.
Comply with all organizational policies and standards regarding ethical business practices.
Communicate the mission, ethics and goals of the organization.
Participate in performance improvement and continuous quality improvement activities.
Must have reliable transportation.
Qualifications
High school diploma or GED required.
Medical assistant certification preferred.
One (1) to two (2) years referral experience.
Bilingual in English/Spanish required.
Knowledge, Skills, and Abilities
Excellent people skills, with an ability to partner with a dynamic leadership team.
Possess personal qualities of integrity, credibility, and commitment to corporate mission.
Flexible and able to multitask; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities.
Strong customer service focus
Effective verbal and written communication skills
Teamwork orientation
Organized and able to manage competing priorities
Good judgment
Resourcefulness in problem solving
Able to take and follow through with delegated tasks and accountability
Physical Requirements and Environmental Conditions
Pushing and pulling objects up to 25 lbs.
Frequent wrist, hand and finger dexterity to perform fine motor function without tremor.
Full range of body motion including twisting body, pushing, and pulling.
Position requires light to moderate work with 25 lb. maximum weight to lift and carry.
Position requires reaching, bending, stooping, and handling objects with hands and/or fingers, talking and/or hearing, and seeing.
Reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions of the position.
Working Conditions
Non-Ionizing Radiation (microwaves)
Hazardous Exposure (chemical [E.G. Latex] and infectious)
Work Schedule
You will generally be scheduled to work each day Monday through Friday, with starting times each day varying between 8:00 a.m. and 9:00 a.m. and ending time between 5:00 p.m. and 6:00 p.m., as required to meet the operational needs of the company. There will be occasional Saturdays as needed.
You will need to travel to other clinic locations as needed for cross coverage support.
Our Mission
The mission of Unicare is to be a community health care organization that treats everyone with dignity, respect and cultural sensitivity to help create an environment in which all can prosper.
We are a Community Health Center providing healthcare services to patients in San Bernardino and Los Angeles counties.
Industry
Hospitals and Health Care
Company size
201-500 employees
Founded
2013
Headquarters
Ontario, California
LinkedIn followers
777
Unicare Community Health Center (UCHC) is a nonprofit organization that provides multi-services such as medical, dental and behavioral health. Our mission is to be a community healthcare organization that treats everyone with dignity, respect and cultural sensitivity to help create an environment in which all can prosper.
Our services and programs are offered in 13 facilities located in Ontario, Colton, Corona, East Los Angeles, San Bernardino, Moreno Valley, Riverside and Pomona cities.
We offer services, such as:
- Family Medicine
- Dentistry
- Optometry
- Pediatrics
- Women's Health and OB/GYN
- Behavioral Health
Along with a wide range of medical services, UCHC also offers a diverse selection of programs that are funded by the federal and state government.
Our duty is to serve the unmet healthcare needs of low-income persons and their families, and provide effective integration of services to complement plans for delivery of quality patient care.
Offices: 437 N Euclid Ave, Ontario, California 91762, US
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