Referral Associate (Outpatient)
About The Position
Central to all that California has to offer, Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and award-winning quality since 1910. We are comprised of a 254-bed acute care hospital and 20 primary and specialty care medical offices. As one of America's fastest growing cities, Bakersfield offers affordable housing on the West Coast, beautiful weather, high-quality education and it is just a few hours away from Yosemite and Sequoia National Parks, the Central California Coast and Southern California's great sports, theaters, concerts and amusement parks. Job Summary: Coordinates and completes referrals within the Hospital-based Outpatient Clinics (HBOC) including acquiring and verifying third party information, obtaining and arranging appointments and tracking. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.
Requirements
- High School Education/GED or equivalent
Nice To Haves
- Associate’s/Technical Degree or equivalent combination of education/related experience
- Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course
Responsibilities
- 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 (including adding incoming referrals that were not generated from the electronic health record (HER)).
- Maintains referral resource document.
- Schedules referral appointments with appropriate department or referred to provider.
- Tracks referral patient compliance and communicate 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.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
