Job Posting for Referral Coordinator at St Jude Neighborhood Health Centers
Description
The Referral Coordinator prepares clinical data for physician/IPP/CBO approval and obtains authorizations; acts as liaison between patient, medical assistant, physician, IPP, CMS Department and Central Business Office.
Call and/or utilize appropriate portal to obtain referral authorizations for Cal Optima, TAR, Medi-Cal or any appropriate supported program patient is participating in.
Gather documentation that supports the medical necessity of the requested referral to authorized Specialist.
Obtain referral authorization with pre-authorized specialist, notify patient and update patient ‘s chart.
Prepare patient records and send to Specialist’s office in readiness for the appointment.
Obtain progress notes and documentation from patient’s specialist visit and update patient’s file for Community Providers to follow-up.
Send documentation for authorization to specialty departments such as Radiology, labs, etc. notify patient and update patient’s chart.
Obtain specialty (ex. radiology or lab) results and process notes and update the patient’s chart for the Community Providers for review.
Maintain a Provider Referral Log. Ensure information regarding a referral is documented and entered timely into patient’s file.
Utilize excel template to track referral information.
Communicate with fellow Referral Coordinators any updates, changes or closures of patient cases.
Utilizes knowledge of alternative sources for specialty care.
Support fellow caregivers by assisting in sharing knowledge or training.
Attends and participates in committee meetings as required.
Front Support as needed.
Creates and sustains respectful, inclusive positive working relationships.
Communicates to manager any challenges or questions regarding work responsibilities and assists in creating a solution.
Other duties as assigned.
Requirements
Education:
High School Diploma or equivalent
License/ Certifications:
N/A
Experience:
One year experience with medical terminology, coding and medical charting.
Knowledge/Skills/Abilities:
Operates all general business equipment and assists office with all clerical needs.
Knowledge of grammar, spelling, coding and medical terminology.
Proper telephone etiquette.
Ability to read, understands, and follow oral and written instruction.
General knowledge of healthcare insurance benefit and terminology.
Demonstrates the ability to read, write and speak English and Spanish without an interpreter.
Salary.com Estimation for Referral Coordinator in Fullerton, CA
$45,898 to $58,055
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
Sign up to receive alerts about other jobs with skills like those required for the Referral Coordinator.
Click the checkbox next to the jobs that you are interested in.