Referral Coordinator

Neighborhood Health • Hybla Valley, VA

73d

About The Position

Function as a member of clinical team in a multi-disciplinary Primary Care Medical Home, serving insured, non-insured, homeless, indigent, and other vulnerable clients. Ensure coordination of care between primary care and specialty providers for clients needing specialty care referrals and diagnostics. Demonstrates a sincere dedication and loyalty to the philosophy and mission of Neighborhood Health.

Requirements

• Certificate from an accredited medical assistant/certified nursing assistant or medical records/clerical program or a minimum 1-year clinical experience or three years clerical experience in a community/primary care setting in lieu of education.
• Experience in a primary care setting is highly preferred.
• Excellent interpersonal communication skills and the ability to work effectively with a diverse work force and client base.
• Proficient with electronic medical records, Microsoft Windows and Microsoft Office, including Word and Excel.
• Highly organized with outstanding oral and written communication skills.
• Must be able to maintain confidentiality with all aspects of information in accordance with practice, State and Federal regulations.
• Demonstrate superior critical thinking skills, sound judgment, and decision-making and problem-solving skills.
• Knowledge of local health care environment.
• Fluency in Spanish and English required.

Responsibilities

• Provide referral assistance to clients needing medical specialties for high risk, chronic disease, acute care, and vulnerable clients across the life span.
• Work closely with clinical care team to ensure all required documentation is completed prior to initiation of referral.
• Submit requests/documentation as required by patient's third-party insurance such as prior authorization requests and insurance referral forms for specialty care referrals as needed.
• Submit precertification requests to third party insurance companies for diagnostic testing as needed.
• Handle outgoing referrals for clients needing additional assistance due to language barrier, educational level, transportation challenges and issues related to mental health, age, sex, race, or financial status.
• Work closely with clinical team(s) and family support services to assist in referral process and the application for financial assistance to various referral partners.
• Track referrals to ensure proper documentation from referral resource is received in a timely basis following appointment.
• Maintain close relationship with community partners to optimize referral process.
• Work closely with the Nursing Coordinator on complex and post hospital referrals.
• Provide additional back office administrative support as needed.

What This Job Offers

• Education Level: No Education Listed
• Number of Employees: 251-500 employees