Referral Coordinator

1 week ago

Oakland, California, United States Center for Elders Independence Full time
Job Title: Referral Coordinator

Center for Elders Independence is seeking a skilled Referral Coordinator to join our team. As a Referral Coordinator, you will play a critical role in ensuring timely and efficient coordination of outside specialist referrals for our patients.

Key Responsibilities:
  • Process referrals and coordinate with participants, caregivers, and the interdisciplinary team to ensure timely appointments.
  • Collaborate with external specialist/vendor offices to secure appointment dates/times and transmit necessary information.
  • Maintain awareness of CEI contracted provider networks in collaboration with the Contracts department.
  • Document and maintain accurate records of appointment dates/times and referral tracking in the electronic health record and related systems.
  • Utilize finance system to obtain referral authorization numbers and enter them into referral and alerts vendor for claims processing.
  • Collaborate with Health Information Coordinator (HIC) to ensure clinical information is available and delivered to external specialists as required.
  • Confirm appointments by ensuring all necessary arrangements (transportation, escort, interpreter, etc.) are in place to facilitate successful appointment completion.
  • Demonstrate effective communication when addressing team member and participant concerns by demonstrating effective problem-solving skills and escalating complex issues to HIRM when necessary.
  • Participate in department meetings and contribute to discussions aimed at improving referral processes and service delivery.
  • Attend clinic meetings to review participant appointment needs and prioritize urgent appointments.
  • Demonstrate dependability by arriving consistently and on time to scheduled work hours, and submit timely and accurate timesheets.
  • Display a willingness and ability to be responsive to all customer groups, including team members, participants, and their families.
  • Follow all agency policies and procedures and training requirements.
  • Participate in Quality Improvement program as required.
  • Maintain the confidentiality of all participant information according to HIPAA requirements.
  • Perform other duties as assigned in a positive and helpful manner.
Qualifications:
  • Associate degree or equivalent work experience.
  • Minimum one year's experience authorizing and scheduling medical appointments, required.
  • Knowledge of medical terminology, completion of medical terminology course preferred.
  • Experience with electronic health record required.
  • Basic proficiency in MS Office systems preferred.
  • Proficient with oral and written English is required.
  • Customer service oriented with friendly, courteous communication style in person, on the phone, and in writing.
  • Detail oriented, high degree of work accuracy.
  • Ability to prioritize work according to productivity standards and within deadlines.
  • Ability to work independently with minimal supervision and as part of a multidisciplinary team is required.

CEI is a PACE (Program of All-Inclusive Care for the Elderly) organization that uses an interdisciplinary team approach to care planning and care implementation for the purpose of providing high-quality, affordable, integrated healthcare services to the elderly, including an Adult Day Health Center, and promoting autonomy, quality of life, and the ability of individuals to live in their communities.

Unlike other healthcare plans, CEI is not a 'fee-for-service' plan. It is a 'capitation' healthcare plan. CEI is paid a set amount for each person enrolled in our program, whether or not that individual seeks care.

We are a growing company that offers stability and continues to thrive.

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