Referral Coordinator

KNOWLEDGE, SKILLS, AND ABILITIES Ability to exercise discretion and independent judgment in a variety of decision-making scenarios Good attention to detail and ability to probe for information to fully understand the needs of the customer Strong organizational and prioritizing skills Ability to work within a team and to manage conflict Excellent written and verbal communication skills Use of Partnership and other insurance websites for processing authorizations and verifying eligibility. EDUCATION & EXPERIENCE Minimum 1 year of healthcare related experience in the area(s) of direct patient care, medical records, patient registration, scheduling, claims and/or information technology within a hospital or clinic, or the equivalent in education and experience Experience with Microsoft Office programs (Word, Excel, Power Point) PREFERRED QUALIFICATIONS Minimum associate's degree in health information, business, or related field.

Base Pay: $ 22.00 - $ 32.50 / hour JOB SUMMARY Under the supervision of the Health Information Services manager, the Referral Coordinator will work with staff, clinical teams, and patients to ensure the timely process of Inbound or Outbound or In-house referrals for specialty care. This will be accomplished by reviewing specialist guidelines for referrals, contacting appropriate patients, staff and outside agencies as needed, and tracking these results on an individual and group basis with the electronic referral system and assuring return reports and completion of specialty care. JOB DUTIES AND RESPONSIBILITIES Receives and processes authorizations in a timely manner. Schedules all requests for referrals and treatment authorizations. Revising referrals when required based on availability and resources. Obtains authorizations from various insurance carriers via phone, in writing or electronic media. Schedules appointment for specialty care, special studies or other ancillary services as requested by the primary care physician. Coordinates care within the guidelines of multiple health plans, contracts or insurance types. Communicates referral criteria with clinicians Responds promptly to inquiries as to current status of authorization by assessing the request and evaluating the circumstances to provide the correct information. Initiates the appropriate documentation of requests from specialties offices for continued/ongoing care. Follows-up on missing documentation to obtain authorization or scheduling when appropriate. Record status of referrals. Uses various modules of the computer system to obtain information, schedule appointments, query information and obtain authorizations. Indexes incoming reports pertaining to referrals for assigned specialties. Sending out specialty reports for Inbound visits. KNOWLEDGE, SKILLS, AND ABILITIES Ability to exercise discretion and independent judgment in a variety of decision-making scenarios Good attention to detail and ability to probe for information to fully understand the needs of the customer Strong organizational and prioritizing skills Ability to work within a team and to manage conflict Excellent written and verbal communication skills Use of Partnership and other insurance websites for processing authorizations and verifying eligibility. EDUCATION & EXPERIENCE Minimum 1 year of healthcare related experience in the area(s) of direct patient care, medical records, patient registration, scheduling, claims and/or information technology within a hospital or clinic, or the equivalent in education and experience Experience with Microsoft Office programs (Word, Excel, Power Point) PREFERRED QUALIFICATIONS Minimum associate's degree in health information, business, or related field. Experience with NextGen BENEFITS Competitive Wages Medical Insurance Dental Insurance Vision Insurance 403 (b) Retirement Plan with matching employer contribution Long-term Disability coverage Accidental Death and Dismemberment Life Insurance Flexible Spending Account Paid Vacation Paid Holidays CME with stipend Employee Assistance Program Jury Duty Pay Bereavement Pay Health Club Membership Discounts Prescription Discount Program 529 College Savings Plan Educational Reimbursement Free Teledoc service for benefit eligible employees Shasta Community Health Center is an Equal Opportunity Employer