Referral Coordinator

Los Angeles Lgbt Center•Los Angeles, CA

1d•Onsite

About The Position

The Specialty Referral Coordinator facilitates referrals by collaborating with healthcare providers and the care team. This position organizes patient information, obtains authorizations, notifies patients, scheduling, maintaining documentation, retrieving, and indexing consult notes, and ensuring timely access to care. Strong communication, attention to detail, and verifying insurance coverage are essential for maintaining continuity of care.

Requirements

Medical Assistant certification from approved training program and/or specialty care referral and utilization managed care experience
Minimum 3 years’ experience in an outpatient healthcare setting.
Knowledge of ICD-9/10 codes and CPT coding.
Strong communication, organizational, and interpersonal skills with a high level of attention to detail.
Proficient in Microsoft Office, EHR, and other healthcare software.
Self-motivated with the ability to handle multiple tasks and maintain patient confidentiality.
Able to work independently with minimal supervision.

Nice To Haves

HIV/AIDS care experience is a plus with basic knowledge of infectious diseases.
Bilingual (English/Spanish) is a plus.
Experience working with or knowledge of the LGBTQ community and related issues.
Passion for the Center's mission and a commitment to diversity and inclusion.
Demonstrated ability to work effectively with people of diverse races, ethnicities, nationalities, sexual orientations, gender identities, gender expression, socio-economic backgrounds, religions, ages, English-speaking abilities, immigration status, and physical abilities in a multicultural environment.

Responsibilities

Serve as part of a multidisciplinary care team to provide and facilitate referrals for specialty care and consultants and update the healthcare team regularly on referral statuses, insurance issues, and any barriers to patient care.
Process all specialty referrals from primary care providers or other healthcare professionals in a timely manner.
Monitor the status of all specialty referrals, ensuring that patients attend appointments and that outcomes are documented in the patient's electronic health record.
Communicate with specialty offices to schedule appointments, facilitate required documentation, and follow up on any pending or incomplete referrals.
Verify patient insurance coverage for specialty services, obtain prior authorizations, and ensure that referrals comply with insurance requirements.
Collaborate with the eligibility and benefits screening team to trouble shoot eligibility issues and resolve barriers.
Work closely with primary care providers, specialty care teams, and case managers to facilitate seamless care coordination and improve patient outcomes.
Maintain accurate and up-to-date records of all referrals in the electronic health record (EHR) system, documenting all communications and actions related to the referral process.
Contact patients to inform them of referral details, schedule appointments with specialists, and provide any necessary instructions or preparation for visits.
Ensure that barriers to accessing specialty care are identified and addressed, including transportation, language needs, and insurance issues.
Ensure completion of referral process by obtaining consultant notes and authorizations for additional procedures being recommended.
Provide education and counseling on the referral program process.
Exercise appropriate judgment and decision-making.
Participate in quality improvement initiatives related to referral management, providing feedback and suggestions to streamline processes and enhance patient care.
Assist with data auditing tasks.
Participate in staff meetings, agency meetings, planning meetings, and other meetings as needed.
Comply with requirements of OSHA, HIPAA, and other applicable regulations.
Other duties as assigned.