Referral Associate, Full Time, Day Shift

Adventist Health • San Luis Obispo, CA

92d

About The Position

Nestled on the Central California Coast, Adventist Health Sierra Vista has been providing care to our community since 1959. Our 162-bed acute care facility includes a Level III Neonatal Intensive Care Unit and county designated trauma center. San Luis Obispo offers the excitement of a lively community while being a fifteen-minute drive from the serenity of Avila Beach, known for their natural hot springs, and Pismo Beach, known for their sand dunes and eucalyptus trees. Featuring a charming downtown, comfortable coastal weather, idyllic views, and an active lifestyle San Luis Obispo offers much to be had.

Requirements

• High School Education/GED or equivalent: Preferred
• Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
• Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course: Preferred

Responsibilities

• Coordinates and completes referrals including acquiring and verifying third party information, obtaining and arranging appointments and tracking.
• Communicates with ordering providers and nursing regarding insurance authorizations, denials, peer-to-peer review requests and scheduling difficulties with referrals to providers.
• Takes telephone requests for authorizations.
• Prepares referral requests.
• Informs patients of appointment information and instructions.
• Maintains electronic health record (EHR) referral documentation to reflect actions on specific referrals.
• Maintains referral resource document.
• Schedules referral appointments with appropriate department or referred to provider.
• Tracks referral patient compliance and communicates with referring provider as necessary regarding patients refusing service and patients not showing up to a referral appointment.
• Submits retroactive authorization requests as needed.
• Performs other job-related duties as assigned.

What This Job Offers

• Industry: Ambulatory Health Care Services
• Education Level: High school or GED