Referral Associate (Outpatient), AHBD (Full-Time, Day Shift)

Adventist Health • Bakersfield, CA

3d • Onsite

About The Position

Adventist Health Bakersfield has been providing an extraordinary team of world-class physicians, top-notch medical technology, caring professionals and award-winning quality since 1910. We are comprised of a 254-bed acute care hospital and 20 primary and specialty care medical offices. This role 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
• Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course: Preferred
• 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.
• This role will support clinic operations by coordinating appointments, processing medication refill requests, and managing verification inquiries in a non-patient-facing environment.

Nice To Haves

• Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred

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.
• Coordinating appointments, processing medication refill requests, and managing verification inquiries in a non-patient-facing environment.

Benefits

• Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED