Referral Associate - Outpatient, AHHF AHPN Call Center (Full-Time, Day Shift)
Adventist Health•Hanford, CA
•$24 - $30•Onsite
About The Position
Adventist Health Hanford, located in Kings County, has been serving the Central Valley since 1965. It includes a 173-bed hospital and numerous outpatient clinics offering primary and specialty care. The Referral Associate will coordinate and complete referrals within the Hospital-based Outpatient Clinics (HBOC), which involves acquiring and verifying third-party information, arranging appointments, and tracking referrals. This role operates within defined parameters and established guidelines, following set procedures with daily instructions.
Requirements
- Adheres to the Adventist Health Mission, Vision and Values statements.
- Complies with behavioral standards, policies, procedures and handbooks established by the organization and their respective ministries.
- Abides by the guiding principles of the Code of Conduct.
- Refer to Job Analysis 05B for details regarding additional ability requirements.
Nice To Haves
- High School Education/GED or equivalent
- 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.
Benefits
- All required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
