Referral Associate (Outpatient), Referral Center (Per Diem, Day Shift)

Adventist Health•Reedley, CA
•$25 - $30•Onsite

About The Position

The Referral Associate coordinates and completes referrals within Hospital-based Outpatient Clinics (HBOC). The role includes acquiring and verifying third-party information, arranging and obtaining appointments, and tracking referrals. Work consists of routine assignments performed within established parameters, guidelines, and procedures, with daily instructions. The position supports clinic operations by coordinating appointments and managing verification inquiries in a non-patient-facing environment. It may be based in Visalia, CA, or Hanford, CA, and requires flexibility to work at either location based on business needs.

Requirements

  • High school education/GED or equivalent is preferred.
  • Associate’s/Technical Degree or an equivalent combination of education and related experience is preferred.
  • Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course is preferred.
  • Must be flexible and willing to work in either Visalia, CA, or Hanford, CA, based on business needs.
  • Must receive required vaccinations as a condition of employment and annually thereafter, where applicable; medical and religious exemptions may apply.

Nice To Haves

  • High school education/GED or equivalent.
  • Associate’s/Technical Degree or equivalent combination of education and related experience.
  • Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course.

Responsibilities

  • Communicate with ordering providers and nursing regarding insurance authorizations, denials, peer-to-peer review requests, and scheduling difficulties related to referrals.
  • Take telephone requests for authorizations, prepare referral requests, and inform patients of appointment information and instructions.
  • Maintain electronic health record referral documentation, including recording actions on referrals and adding incoming referrals not generated from the electronic health record; maintain the referral resource document.
  • Schedule referral appointments with the appropriate department or referred-to provider.
  • Track referral patient compliance and communicate with the referring provider as needed regarding patients who refuse service or do not attend referral appointments.
  • Submit retroactive authorization requests as needed.
  • Perform other job-related duties as assigned.
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