Pds Referral Specialist

1 week ago

San Diego, United States Family Health Centers of San Diego Full time

Family Health Centers of San Diego is looking for a Referral Specialist to complete assigned referrals for assigned department(s). Makes appointments directly into CMIS for the appropriate FHCSD site or service. Schedules translation services as needed and makes reminder calls as assigned. Provides excellent patient-centered communication and education regarding referral processes.

**Responsibilities**:

- Complete all required documentation in assisting with medical referrals that has increased in volume due to the significant impact of the COVID-19 pandemic on the residents that FHCSD provides healthcare-related services.
- Coordinate, process, and document medical referrals and prior authorizations that has increased in volume due to the significant impact of the COVID-19 pandemic on the residents that FHCSD provides healthcare-related services.
- Complete all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards, and ensure required documentation complies with patients' insurance requirements.
- Meet established daily referral modification productivity standards, adhering to referral processes and guidelines, and follow referral guidelines in providing appropriate clinical information.
- Time will be dedicated to the increased demand of processing and uploading consult notes and order requests from external specialists due to the significant impact of the COVID-19 pandemic on the residents that FHCSD provides healthcare-related services.
- Contact various clinics, facilities, and companies to obtain information to accurately complete referral/pre-authorization requests.
- Perform other duties as assigned.

**Job Requirements**
- At least 1 year of experience in ambulatory care setting or similar setting is strongly preferred.
- High school diploma or GED equivalent required.
- Or equivalent combination of education and experience that provide the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
- Medical Terminology Course required, or able to complete within 90 days of hire.

**Rewards**:

- Job type: Regular Full Time, (40 Hours/week)
- Schedule: Monday-Friday (AM)
- Competitive Salary with Excellent Benefits
- Retirement Plan with Employer Match
- Paid Time Off, Extended Sick Leave and Paid Holidays
- Medical/Dental/Vision/FSA/Life Insurance
- Employee Discounts and Wellness Programs

Pay: $17.00 - $22.67 per hour

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Professional development assistance
- Retirement plan
- Tuition reimbursement
- Vision insurance

Weekly day range:

- Monday to Friday
- No weekends

Application Question(s):

- The pay range is $17.00 - $22.67.

**Education**:

- High school or equivalent (required)

**Experience**:

- Referral Specialist: 1 year (required)
- Call center: 1 year (required)
- Medical terminology: 1 year (preferred)
- Insurance verification: 1 year (required)

**Language**:

- Spanish (required)

Work Location: In person

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