POSITION SUMMARY:
The referral coordinator will provide patient care services under the direction of a licensed health care provider. This includes handling referrals, health follow-ups and coordination services.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Coordinates and manages authorizations for referrals from our primary care providers to outside providers, including to medical specialists and outside facilities for special testing/imaging in a timely manner.
- Facilitates and ensures the receipt of consult/specialty notes and test results after a patient has been referred to an outside provider in a timely manner.
- Communicates with primary care provider (PCP) to inform of any delays or barriers to patients care.
- Serves as clinic liaison to outside agencies and partners.
- Communicates with Supervisor when unable to process all referrals or follow-ups to avoid delays.
- Involve in all quality improvement and other team projects actively.
- Reporting of incoming and outgoing calls logs to the supervisor as needed.
- Coordinator and tracking imaging, voicemails and incoming faxes inside and outside facilities.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.
REQUIREMENTS:
Training and Experience:
High school diploma or GED. Proficient use of Microsoft Office and electronic health records. Bilingual in Spanish/ English required.
Knowledge of:
- Basic medical terminology and patient care methods, techniques and healthcare background.
- Methods and standard procedures for the maintenance of medical records.
- Safety policies and safe practices applicable to the work.
- Effective communication skills; general computer knowledge.
- Knowledgeable with CPT and ICD-9 codes.
- Knowledge of insurances, managed care and IPA's
Ability to:
- Prioritized work load and maintained an organized work space
- Communicate effectively with people of various educational, socio-economic and cultural backgrounds.
- Understand and follow written and oral instructions from physicians, mid-level providers and nurses and apply departmental policies, guidelines and protocols applicable to APLA.
- Communicate clearly and effectively, both orally and in writing.
- Operate a computer and standard business software.
- Maintain highly confidential personal and medical information in accordance to HIPAA regulations.
- Exercise tact, objectivity, sensitivity and sound judgment in dealing with a variety of people in a variety of sensitive situations.
- Establish and maintain effective working relationships with other staff members, patients and others encountered in the course of work.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
COVID-19 and Booster or Medical/ Religious Exemption required.
Equal Opportunity Employer: minority/female/disability/transgender/veteran.