Referral Associate, Per Diem

Adventist Health•Clearlake, CA

About The Position

The referral associate is a well-organized individual with excellent communication skills to promote the care continuum to referral sources and the community at large resulting in efficient patient care flow. This position requires an in-depth understanding of services offered both through the Adventist Health continuum of care as well as out-sourced referrals in the greater medical community. The referral associate is the primary contact between the patient and the medical community to which they are referred. This individual works under general supervision of the nursing coordinator, physicians and RN, in a controlled patient care area and performs a variety of duties. This position is represented by RCHEA.

Requirements

Excellent working knowledge of excel, word processing software, POMS and email calendars
Employee must conform with all HIPAA and other confidentiality regulations as required by the job, department, or hospital
All associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Nice To Haves

Clinic/medical office experience preferred
High School graduate or GED preferred

Responsibilities

Acts as back office information center for fax, phone, mail, diagnostic reports and all aspects of ongoing clinical care. Completes data collection, input, reporting and general program support.
Assists in the coordination of patient care in the area of medical records procurement
Ensures patients have achieved specialty service referral. Resolves pre-certification and case-related concerns prior to the referral appointment.
Gathers pertinent information from insurance carriers, financial counselors and other ancillary staff to make certain the referral can be taken to completion.
Identifies in-house, local and regional medical and social resources.
Maintains a records program for documentation of the referral process.
Maintains and meets expectations on time for all competencies, certifications and education requirements as outlined by local administration, Adventist Health (AH), The Joint Commission (TJC), Centers for Medicate and Medicaid Services (CMS), and all other regulatory agencies.
Performs diagnostic coding relative to the referral process, ICD-9 and CPT-Plus
Processes completely all inside and outside referrals.
Willingly performs other duties and innovations as assigned.