Referrals Coordinator

ADELANTE HEALTHCARE INC•Phoenix, AZ

1d•Onsite

About The Position

The Referrals Coordinator maintains a caring and receptive patient environment and an effective, efficient, and productive Referrals department. This entry-level leadership role provides mentorship, guidance, and training to Patient Support Center referral staff. The coordinator serves as a liaison among internal and external health center staff, site leaders, the Trainer/Auditor, health plan representatives, and other professional, technical, and managerial staff. The position requires proficiency in the responsibilities of the Associate Referrals Representative, Referral Representative, and Senior Referral Representative. Leaders are expected to maximize team members’ performance and contributions through clear expectations, ongoing feedback and coaching, and regular performance evaluations. They model quality, patient safety, employee engagement, innovation, integrity, professionalism, and competence. The role supports patient referral operations, staff development and coverage, compliance, quality monitoring, and collaboration across the health care system. Work may involve travel to clinic sites and exposure to clinic-related health hazards and weather conditions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

High school diploma or GED from an accredited institution, plus advanced training.
At least one year of supervisory or leadership experience in a medical office team and/or completion of an approved development plan.
At least six months of referral experience.
Demonstrated understanding of clinical methods and techniques used in record-keeping systems.
Demonstrated ability to implement principles and practices of supervision.
Advanced efficiency with Microsoft Office (Word, Excel, PowerPoint, and Outlook) and experience with a Patient Management System.
Professional written communication skills.
Ability to perform varied assignments requiring moderate independent judgment.
Regular and reliable attendance.
Outstanding interpersonal, communication, and team-building skills.
Ability to work effectively in a fast-paced environment and organization.
Ability to prioritize and work independently.
Ability to speak clearly and understandably and write legibly.
Ability to meet and deal effectively with outside clients, associates, and patients.
A valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety is required for all specialty behavioral health locations.

Nice To Haves

Bilingual in Spanish and English.
Prior coaching and monitoring experience.
Proven ability to interact with individuals at all levels of the organization.

Responsibilities

Provide leadership, guidance, and training to Referrals department staff.
Maintain efficient patient referral flow and ensure compliance with internal procedures.
Obtain patient information and enter it accurately into the computer system.
Obtain prior authorizations and document referrals in the medical record.
Verify third-party payer coverage and billing information, including insurance.
Participate in interviewing and selecting prospective employees.
Provide orientation and ongoing skill development for the Patient Support Referrals team.
Provide staffing for vacant positions as needed and cover referral positions when no other coverage is available.
Assign work tasks; ensure coverage for breaks, meals, meetings, and absences; and coordinate vacation scheduling.
Review and certify the correctness of timekeeping records and monitor attendance records.
Maintain working relationships with insurance plans and AHCCCS representatives, and update staff on developments as needed.
Ensure quality-control monitoring complies with regulatory agencies.
May participate in quality management monitoring and performance improvement, including assisting with the development of office procedures.
Promote and participate in interdisciplinary communication and collaboration to support quality health care delivery.
Maintain a caring, team-based environment that engages patients and coworkers and supports wellness and improved health outcomes.
Comply with Adelante Healthcare’s written standards, Compliance Program, Standards of Conduct, policies, and procedures, and report conduct that may violate legal or compliance requirements.