Referral Coordinator
3 weeks ago
Overview:
To enhance the quality of life for men, women and children in the greater Los Angeles area through the provision of high quality, accessible and affordable healthcare services.
We offer fantastic benefits, competitive pay, and a great family-oriented environment
We offer:
- Medical Benefits - FHCCGLA pays 100% of employees Kaiser; Anthem Blue Cross; Health Net; and United Health Care coverage (HMO Plan) subject to change during open enrollment.
- 403 B - Through Mutual of America, the company matches up to 4% of employees salary.
- Dental Benefit - MetLife Only (HMO/PPO Plan).
- 11 Holidays Observed.
- 2 Floating Holidays
- Vision Benefit - MetLife Plan.
- 1 Birthday Holiday
- Life Insurance - Accidental Death & Dismemberment; and Long-term Disability.
- 7 Paid Sick Leave - 56 hours.
- Employee Assistance Program
- 2 weeks Vacation
- AFLAC Benefits
- 2 weeks Vacation
- Employee Assistance Program
- 7 Paid Sick Leave - 56 hours.
- Life Insurance - Accidental Death & Dismemberment; and Long-term Disability.
- 1 Birthday Holiday
- Vision Benefit - MetLife Plan.
- Dental Benefit - MetLife Only (HMO/PPO Plan).
- 403 B - Through Mutual of America, the company matches up to 4% of employees salary.
License Reimbursement:
- Medical License
- DEA licenses
- CPR
Possible student loan repayment for providers:
- HRSA, HWDD, LA CARE
- OSHPS HPEF
This would be a great opportunity to make a difference with you onboard
This position pay rate $19.51 - $ 21.00 Salary is equivalent with experience
JOB TITLE: Referral Coordinator
DEPARTMENT: Case Management
REPORTS TO: Case Management Supervisor
POSITION OVERVIEW:
The referral case coordinators obligations of duties can be found summarized below.
Responsibilities:DUTIES/RESPONSIBILITIES:
1. Responsible to monitor and oversee the patient referral system.
2. Shall process and monitor all patient referrals and managed care authorization requests.
3. Shall ensure that all initiated referrals or authorizations received are accurately and thoroughly completed as required prior to submission (in efforts to avoid delays).
4. Ensures that all referrals authorization requests are scanned within a timely manner (urgent, routine, etc.).
5. Ensures that referrals and authorization requests are filed appropriately and maintained in the patients electronic health record.
6. Shall maintain a record of all referrals process in |2| software. Record shall include patients name, Chart #, date referral was faxed or mailed, date of appointment, if patient kept the appointment, authorization # (if applicable).
7. Will maintain a list of referral sources and contacts.
8. Shall ensure to request Release of Records (R.O.R. from Specialists) for all appointments or referrals made and will make every effort to ensure the receipt of the R.O.R.s.
9. Will forward R.O.R.s to the applicable provider for review and approval prior to filing the documents in the patient E.H.R.
10. Responsible to keep department records in an organized and orderly fashion (files, binders, etc.).
11. Will inform supervisor regarding any grievances related to an IPA, HMO, hospital, or other facilities.
12. Shall follow-up on all patients referred to the Emergency Room (ER) by an FHCCGLA provider or who had a recent E.R. visit.
13. All other duties assigned.
Qualifications:MINIMUM QUALIFICATIONS:
1. High school diploma, minimum (or GED equivalent).
2. Medical Assistant Certificate (Preferred).
3. Requires exceptional organizational skills.
4. Computer literate.
5. Spanish speaking required.
6. Strong communication, interpersonal skills, and problem-solving skills.
7. Ability to take initiative in performing and completing tasks.
8. Ability to prioritize workload and work under pressure of deadlines.
9. Willingness to adapt to changes in clinic schedules, agency growth and expansion.
ADDITIONAL ELIGIBILITY QUALIFICATIONS:
1. Ability to work well with others in a professional and team-oriented environment.
2. Well-developed interpersonal skills, friendly personality and able to motivate staff by promoting teamwork.
3. Ability to relate to the public regardless of ethnic, religion and economic status.
4. Excellent communication skills.
5. Willingness to travel.
6. Strong planning and organizational skills.
7. Problem analysis and critical thinking skills.
8. Excellent customer service skills.
9. Knowledge of the following (but not limited to), preferred:
?My Health LA ?PPOs ?HMOs
?Medicare ?Family PACT ?CPSP
?Medi-Cal ?Fee-for-Service ?CHDP
?Managed Care Plans ?Every Woman Counts
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