Referral Associate (Outpatient), Referral Center (Full-Time Temporary, Day Shift)

Adventist Health•Hanford, CA

2d•Onsite

About The Position

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. This role will support clinic operations by coordinating appointments, processing medication refill requests, and managing verification inquiries in a non-patient-facing environment.

Requirements

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
Must receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Acknowledge and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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.
Coordinates appointments, processes medication refill requests, and manages verification inquiries in a non-patient-facing environment.