Referral Coordinator

Aria Community Health Center•Lemoore, CA

6d•$23 - $24•Onsite

About The Position

At ACHC, we are committed to improving the health and well-being of our communities. As a Federally Qualified Health Center and licensed primary care clinic, we provide comprehensive medical and dental services, along with specialized care in Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry, and Optometry. With clinics located across Fresno, Kings, and Tulare counties, our team works together to deliver accessible, high-quality care to every patient.

Requirements

Experience with electronic medical records and standard PC Software applications required.
Experience in healthcare setting (Hospital, physician’s office, health plan) required.
Interact in a courteous helpful manner with patients, clients, and staff.
Exudes patience and compassion.
MUST enjoy paperwork. This job is 98% paperwork.
Advanced organization skills.
Time Management skills.
Proficient computer skills.
Works effectively with a diverse population and positively in a teamwork environment.
Excellent verbal, written communication and interpersonal skills to enhance interactions with staff, patients, patient’s families, physicians, and other health care organizations.
Ability to work with clinical staff and handle work load for more than one provider.
Knowledge of medical terminology (CPT & ICD-10 codes).
Experience with reimbursement instruments, standard claim/medical forms.
Commitment to the concepts of preventative health care programs and team approach to health care delivery.
Ability to learn about patients and their health care needs and be sensitive to patient circumstances.
Hearing: Sufficient to engage with patients and staff in person and by telephone.
Speaking: Clear verbal communication to convey medical and operational information.
Vision: Visual acuity adequate for reading printed materials and viewing electronic screens.
Cognitive Abilities: Aptitude to complete tasks, including abilities such as learning, remembering, focusing, categorizing, and integrating information for decision-making, problem-solving, and comprehending.
Motor Function & Mobility: Ability to move within the work environment to complete tasks and interact with others.
Occasional lifting and carrying of items up to 10 pounds without assistance.
Frequent standing, sitting, bending, reaching, and other movements typical of a standard workday.
Regular use of hands and fingers for typing, writing, operating tools or equipment, and handling materials.
Some pushing and pulling required during daily tasks.

Nice To Haves

Medical Assistant Certificate from an approved Medical Assistant program as required by the State of California preferred
Two years of Authorizations/Referrals experience strongly preferred.
Claims handling or customer service experience preferred.
Bilingual, English/Spanish preferred.

Responsibilities

Process patient referrals, requests for authorization, and referral under a provider’s order, and facilitate related patient follow-up.
Interface with patients, medical staff, nursing staff, patient accounts, referring/consulting agencies, and support services in the resolution of issues relating to the patient care in the referral system.
Collaborate with clinic management, nursing, clinician staff, and clerical staff to maintain high standards of patient care.
Process referral requests accurately and completely, document actions and status in appropriate electronic medical records (NextGen & i2i), and communicate with patients about referral information.
Conduct and document follow-up referral activities for pending referrals, appointment statuses, and track appointment results of incoming and outgoing referrals.
Perform other duties in regard to patient information/education as assigned by Referral Program Supervisor/Site Manager.
Attend trainings as appropriate for job responsibilities.
Participate in providing training and orientation of new staff as assigned.
Communicate status of referrals to providers, patients, and staff as requested.
Be prepared to work or fill in for Referral Coordinator staffing gaps at all Aria Community Health Center locations as assigned by Referral Program Supervisor/Site Manager, including reassignment and cross training.
Follow policy and protocol guidelines as indicated by Aria Community Health Center.
Receive requests from referring physicians via the electronic health record, telephone, or fax and strive to complete urgent referrals within a timely manner.
Request prior authorization from insurance companies; schedule diagnostic procedures and appointments as appropriate.
Notify patients and referring physician’s office of covered benefits.
Notify provider when reports are received or patient did not attend appointment.
Document each development in a timely manner, consistently and accurately in the electronic medical record.
Participate in utilization management, quality improvement, and quality management programs as directed.
Comply and keep current with accreditation standards and federal, state, and local regulatory requirements.
Perform other assignments as directed.
Responsible for keeping abreast of and in compliance with all HIPAA regulations and requirements.
Treat all member information as confidential.
Participate in QA/QI activities and contribute towards the overall performance improvement of the organization.
Learn and use the Electronic Health Record and Practice Electronic System and its components, as required by the job functions and highlighted in the Policies and Procedures. These components include Next Gen, PMS, i2i and other electronic features, as they are developed and implemented, as applicable to work environment.