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Referral Coordinator
3 months ago
*process and complete specialist referrals across many IPA portal platforms
*process and complete specialist referrals across managed Medi-Cal plans
*process and complete ancillary referrals and authorizations for all Managed and FFS plans
*work and communicate with clinical staff and providers to ensure timely referal process
*Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. This tracking may use an IT database.
- Ensure complete and accurate registration, including patient demographic and current insurance information.
- Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
- Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis.
- Experience as a Certified Medical Assistant
- Review details and expectations about the referral with patients.
- Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
- Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
- Ensure that referrals are addressed in a timely manner.
*Other assigned clerical tasks
Pay: $22.00 - $25.00 per hour
Weekly day range:
- Monday to Friday
**Education**:
- High school or equivalent (preferred)
**Experience**:
- referral coordinator: 1 year (preferred)
- Medical Assistant: 1 year (preferred)
Work Location: In person