Referrals Operations Coordinator

7 days ago

Los Angeles, California, United States To Help Everyone Full time

About Us



To Help Everyone (T.H.E.) Health and Wellness Centers is a healthcare organization dedicated to providing quality care to our patients.



Job Summary

We are seeking a skilled Referrals Operations Coordinator to join our team. As a Referrals Operations Coordinator, you will be responsible for overseeing the daily operations of referrals submission and processing to ensure compliance with required timelines.



Key Responsibilities:


  • Supervise referral clerks/coordinators, including daily assignments, attendance, performance evaluations, new hire training/education/competency, and delegation of duties based on business needs.
  • Responsible for department daily operations, ensuring referrals submission and processing comply with required timelines.
  • Enter and process referrals based on assigned providers or department needs, ensuring timely submission, patient communication, and addressing all referrals/authorizations.
  • Serve as the primary contact/liaison for the Referrals Department.
  • Promote a team-based approach to delivering quality, cost-efficient care, focusing on patient satisfaction and implementing effective tools to improve operational efficiency and control costs.
  • Promote positive working relationships with community agencies, external, and internal stakeholders.
  • Collaborate with the department to develop, implement, and comply with departmental goals and quality improvement activities, recommend establishment/revision of policies and procedures, budgetary goals, and performance reports.
  • Evaluate and ensure all referrals/authorizations are processed within the required timeframe based on urgency.
  • Communicate with providers, clinical and non-clinical support staff, and other departments on updates pertaining to referral submission/follow up to ensure accuracy and completeness of all requested referrals/authorizations.
  • Assist in the development, implementation, and compliance of departmental goals, policies, procedures, budgets, and reporting tools.
  • Manage personnel, including personnel qualification requirements recommendation, drafting procedure manuals, conducting in-service programs, and implementation/validation of record and reporting systems.
  • Facilitate daily/weekly huddles and monthly department meetings to provide updates, changes, and feedback loops with the Referrals Department.
  • Report progress, operational issues, process improvement, and incidents/grievances to the Chief Operations Officer monthly and on an as-needed basis.
  • Participate and provide department performance/update in monthly QI/QA meetings and other required meetings.


Requirements

To be successful in this role, you should have:




  • A high school graduate or equivalent.
  • Computer proficiency and experience with EMRs is highly desirable.
  • Excellent organizational skills, oral and written communication skills.
  • A valid California Driver's license and access to an insured automobile.
  • Two or more years of experience working in a professional setting, preferably in healthcare or supervisory roles.
  • Ability to work with diverse populations.
  • Bilingual English/Spanish is preferred.


Estimated Salary

The estimated salary range for this position is $65,000 - $85,000 per year, depending on qualifications and experience.



This estimate may vary based on factors such as location, industry standards, and market conditions.

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