Referral Associate, Full Time, Day Shift

Adventist Health • San Luis Obispo, CA

2d • $25 - $29

About The Position

The Referral Associate coordinates and completes referrals, including acquiring and verifying third-party information, obtaining and arranging appointments, and tracking referrals. The role handles routine assignments within defined parameters, established guidelines, and precedents, follows established procedures, and receives daily instructions.

Requirements

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

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 with referrals to providers.
• Take telephone requests for authorizations and prepare referral requests.
• Inform patients of appointment information and instructions.
• Maintain electronic health record referral documentation to reflect actions on specific referrals, including 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 necessary regarding patients who refuse service or do not attend referral appointments.
• Submit retroactive authorization requests as needed.
• Perform other job-related duties as assigned.

What This Job Offers

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