Referral Associate, Per Diem

Adventist Health•Clearlake, CA
•$25 - $30

About The Position

The Referral Associate promotes the care continuum to referral sources and the broader community to support efficient patient care flow. The role requires an in-depth understanding of services across Adventist Health and of external referral options in the greater medical community. The Referral Associate is the primary contact between patients and the medical community to which they are referred, and works under general supervision of the nursing coordinator, physicians, and RN in a controlled patient care area. The position is represented by RCHEA. The role acts as a back-office information center for fax, phone, mail, diagnostic reports, and ongoing clinical care; supports data collection, input, reporting, and general program functions; coordinates records procurement; and tracks referrals through completion. The employee maintains referral documentation and completes related diagnostic coding and administrative processes.

Requirements

  • Excellent working knowledge of Excel, word-processing software, POMS, and email calendars.
  • Conform with HIPAA and other confidentiality regulations applicable to the job, department, or hospital.
  • Receive required vaccinations as a condition of employment and annually thereafter where applicable; medical and religious exemptions may apply.

Nice To Haves

  • Clinic or medical office experience.
  • High school graduation or GED.

Responsibilities

  • Act as the back-office information center for fax, phone, mail, diagnostic reports, and ongoing clinical care.
  • Complete data collection, input, reporting, and general program support.
  • Assist in coordinating patient care related to medical records procurement.
  • Ensure patients achieve specialty-service referrals and resolve pre-certification and case-related concerns before referral appointments.
  • Gather relevant information from insurance carriers, financial counselors, and ancillary staff to help complete referrals.
  • Identify in-house, local, and regional medical and social resources.
  • Maintain records documenting the referral process.
  • Meet deadlines for competencies, certifications, and education requirements established by administration and applicable regulatory agencies.
  • Perform diagnostic coding related to referrals, including ICD-9 and CPT-Plus.
  • Process all internal and external referrals completely.
  • Perform other duties and innovations as assigned.
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