Referral Coordinator Team Leader

COMMUNITY MEDICAL CENTERS INC•Stockton, KS

8d•$27 - $29•Onsite

About The Position

At Community Medical Centers (CMC), we’re passionate about improving health and well-being in the communities we call home. That’s why we work to ensure even our most vulnerable neighbors have affordable access to quality healthcare, regardless of age, income, or background. We offer integrated medical, dental, behavioral health, and supportive services, with a model of care that puts the patient at the center of a team-based approach. As one of the region’s largest healthcare providers, our growing network of neighborhood health centers serves over 100,000 patients in San Joaquin and Solano counties. MISSION Working together to improve health and well-being in our communities.

Requirements

Completion of high school or possession of GED
Two (2) years of experience as a referral coordinator or similar type duties working with the referral of patients for treatment and diagnostic studies, or, Three (3) years of full-time experience as a medical receptionist or medical assistant, 1 year of experience with referrals.
Communicate effectively by using welcoming words, proper tone of voice, appropriate body language, eye contact and smiling with every interaction.
Ability to provide excellent customer service that is reflective of a culture that values trust and respect.
Knowledge of business office procedures
Knowledge of ICD-10 and CPT codes
Knowledge of all CMC program referral requirements
Knowledge of Managed Medi-Cal and EDS Medi-Cal Tar Requirements
Knowledge of all insurance pre-authorization requirements and documentation
Knowledge of grammar, spelling, and punctuation to type patient information.
Skill in operating computer, including population management/tracking software and photocopy and facsimile (FAX) machine.
Skill in greeting patients and answering the telephone in a pleasant and helpful manner.
Ability to communicate clearly.
Ability to establish and maintain effective working relationships with patients, employees, and the public.

Responsibilities

Promotes the mission, vision, and values of the organization.
Assists with interviews for referral coordinator positions with the Patient Center Manager.
Schedules, monitors, and assigns specific duties to referral coordinators.
In conjunction with the Patient Center Manager, completes monthly referral reports.
Responsible for updating, educating, and auditing staff to all changes in policies and procedures, coordinated with Patient Center Manager.
Assists Patient Center Manager with evaluations and disciplinary procedures.
Coordinates and participates in orientation and training of referral coordinators.
Assists referral coordinators with referral problems and addresses referral questions and concerns.
Reviews timecards independently or in conjunction with Patient Center Manager.
Coordinates the referral of patients and appropriate follow-up of referrals per established policies and procedures.
Completion of follow-up on all referrals including: Insurance authorizations, Transmission of a “summary of care” record and other medical information to specialist, Appointment scheduling or rescheduling, Patient notification of appointments and requirements, Receipt of consult notes and attaching them to the medical record, Referral tracking activities to include all of the above elements.
Answers the telephone and provides information with respect and courtesy while also being effective and efficient. Communication methods may require interpretation and translation.
Ongoing knowledge, documentation and up-date of appropriate referral resources required forms and key contact persons.
Continued resource for outlying sites regarding referral program and resource contacts.
May be involved in other programs as assigned.
Performs other duties as assigned.