REFERRAL SPECIALIST

Good Samaritan Hospital CA LTD PTP•Wasco, CA

32d•Onsite

About The Position

Under the direction of the Clinic Manager, the Referrals Clerk is responsible for all duties related to submitting pre-authorizations and pre-certifications. The Referrals Clerk is responsible for promoting positive communications with all departments within the clinic and affiliated agencies including but not limited to physician’s offices and insurance companies.

Requirements

High school graduate or equivalent
Basic typing skills required with ability to use office equipment required
Bilingual in English and Spanish required (must be able to communicate effectively with patients, families, and staff in both languages

Nice To Haves

Medical Assistant – preferred
basic course in medical terminology preferred

Responsibilities

Makes patient care referrals to outside agencies according to policies, procedures and responsibilities.
Documents all referrals and forwards referral documents to appropriate personnel / department.
Follows up the referrals in a timely manner to assure that appointments are made for appropriate care or testing.
Answers patient inquiries and takes messages for follow up.
Assists providers in completing all medical documentation needed to provide referral services following the specific procedure provided by Nurse Supervisor as to what needs to be sent to specific entities.
Participates in staff meetings and other meetings as instructed.
Maintains confidentiality within the workplace and within the community.
Handles protected health information in a manner consistent with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Adheres to the Mission and Values
Performs other duties as required and assigned.