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Referrals Coordinator
3 months ago
Who We Are:
SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive, exceptional care. Patient-centered, whole-person care. Our unique, full scope, team-based approach is what makes SAC Health the provider of choice for patients.
Top-Tier Patient Satisfaction Scores | Largest Teaching Health Center FQHC | 11 Locations offering 44 Specialties | NCQA Patient-Centered Medical Home Level 3 Certified
Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/STAR/Pediatric Specialty | HPSA Scores: Primary: 17 | Dental: 25 | Mental: 20
What We Are Looking For
The Referral Coordinator understands referral/authorization process for multiple payer sources. Offers guidance to providers on the ordering of referrals as needed. Processes and ensures completion of referral orders to specialists. Works under the supervision of the Referrals Supervisor to ensure accurate and timely review and processing of authorizations. Requires exceptional accuracy, organization, communication and office and interpersonal skills.
Schedule: 4 days per week, 10 hours per day, Monday - Thursday, 7:00am - 5:30pm | Location: Hospitality Lane Administrative Offices, San Bernardino, CA
ESSENTIAL FUNCTIONS AND DELIVERABLES
- Processes incoming referral requests daily.
- Strive to meet personal, departmental and organizational goals and targets.
- Ability to manage a heavy workload with frequent interruptions and changing priorities in a fast paced environment.
- Reviews referral orders for accuracy of codes and supporting documentation.
- Receives, processes and verifies accuracy of authorizations.
- Receives and processes specialty notes to primary care physician to facilitate on-going authorizations for continued care.
- Serves as liaison and authorization resource to clinic staff, outside medical groups and patients.
- Knowledgeable and familiar with insurance policies, referral and authorization processes. Works with insurance companies / managed care groups to ensure pre-visit information is sent to patients as needed.
- Utilizes exceptional customer service skills in performing duties and assists with problematic referral and authorization process. Ability to resolve problems in a timely manner.
- Recommends improvements to department processes as appropriate.
- Contacts insurance company(s) to verify patient eligibility and benefits.
- Contacts patients as needed to update demographics. Informs patients/guarantors of their financial responsibility for scheduled services.
- Informs patients and/or clinic staff of any insurance problems affecting future services.
- Develops and maintains professional working relationships with outside providers, vendors and insurance groups involved in the referral process. Ability to work cohesively with all other SACHS departments.
- Ability to collaborate, teach, support and function in a teaching organization that builds, coaches and embraces interns and residency programs. Must demonstrate a passion for the team and have the ability to consistently work with rotating doctors, residents and interns, while continuously building a trusting, safe, patient centered workplace.
- Demonstrate the ability to be culturally sensitive and respect diversity, work effectively and with individuals of different cultures and socioeconomic status; Passion for service.
- Other duties as outlined in the official job description.
QUALIFICATIONS:
- Education: High School Diploma or equivalent required.
- Licensure/Certification: As a requirement of this position, you must receive EPIC certification for the module you have been hired into.
- Experience: Minimum of two (2) year's referral experience required within the medical field. Medical terminology required.
- Essential Technical/Motor Skills: Computer literate with knowledge and experience with specific software such as Word, Excel, Access. Must have proficient computer skills including data entry (35wpm). Must be able to use a variety of office equipment including fax machine, scanner, printer and copier.
- Interpersonal Skills: Skilled in working independently, but with supervision. Must have professional telephone etiquette combined with a pleasant and courteous voice. Fluency in English required. Must possess the ability to maintain a professional attitude in difficult situations and communicate effectively. Must perform as a team player.
- Essential Mental Abilities: Requires critical thinking skills. Must be flexible to perform a variety of tasks. Must be well organized. Must be able to handle multiple telephone lines ringing simultaneously. Must be able to prioritize work using strong decision making skills.
- Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas.
EEO: SAC Health is committed to fostering a diverse, equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
Full Benefits Package Effective on Your First Day
Industry Leading PTO Accrual (accrued per pay period) | Sick Leave | Paid Holidays | Paid Jury Duty, Bereavement | SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) | Retirement - up to 8% employer contribution | Continuing Education and Learning Benefits | Annual Mission Trip and much more
Learn More About the Work We Do:
SAC Health's Mission: SAC Health's mission is to reflect the healing ministry & love of Jesus Christ through healthcare, education & partnerships that empower our communities to flourish.
SAC Health's Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect
