Referral Associate, Full time, Day shift
About The Position
Located in Templeton amongst the oak trees, Adventist Health Twin Cities has been serving northern San Luis Obispo County since 1977. Comprised of a 122-bed acute care facility, our team provides exceptional care in emergency medicine, orthopedics, obstetrics, digestive disorders, wound care, and various medical, surgical and outpatient services. Locals enjoy weekly farmers markets in downtown Templeton, farm-to-fork dining, beautiful landscapes for hiking and biking, and beach days just fifteen minutes away at Cambria and Morro Bay. 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: Preferred
- Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
Nice To Haves
- Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course: Preferred
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
Industry
Hospitals
Education Level
High school or GED
Number of Employees
501-1,000 employees
