Specialty Referral Coordinator (Temp)

FAMILIES TOGETHER OF ORANGE COUNTY•Tustin, CA

2d•$23•Onsite

About The Position

Under the supervision of the Authorization Supervisor. The Specialty Referral Coordinator holds a pivotal role in overseeing the efficient management of referral submissions and subsequent follow-ups across various insurance payers, encompassing Medicare, Medi-Cal, HMOs, PPOs, and our uninsured patient population. This position is dedicated to ensuring the timely resolution of all assigned referrals, adhering rigorously to internal protocols and contractual health plan requirements.

Requirements

High School Diploma or equivalent (GED) required
Minimum 2 years of related experience
Bilingual: Spanish required
Must excel in multitasking within a high-paced environment
Strong computer skills, acute attention to detail, confident and professional communication, and responsiveness to the needs of both internal and external customers in a personable manner are expected

Nice To Haves

Knowledgeable in general EMR/EHR systems is preferred
Experience in a medical setting is preferred

Responsibilities

Process incoming referral requests from healthcare providers and ensure accurate documentation and completion
Verify patient insurance information and eligibility for referral services
Coordinate with healthcare providers and insurance companies to obtain necessary authorizations for referrals
Communicate with patients regarding referral appointments, instructions, and any required pre-authorization paperwork
Maintain detailed records of all referral requests, authorizations, and follow-up communications
Collaborate with internal departments to schedule referral appointments and coordinate care for patients
Assist patients with any questions or concerns regarding their referral process or appointments.
Monitor referral status and follow up on any pending or incomplete authorizations
Ensure compliance with organizational policies, procedures, and regulatory requirements related to referral processes
Provide support and assistance to referral team members as needed
Participate in training sessions to stay updated on changes in referral processes and procedures
Maintain confidentiality of patient information in accordance with HIPAA regulations
Collaborate with other healthcare professionals to facilitate the referral process and ensure seamless patient care
Assist with other administrative tasks and projects as assigned by supervisor or manager
Act as a liaison between patients, healthcare providers, and insurance companies to facilitate smooth referral processes
Communicate effectively with internal and external stakeholders to resolve any issues or concerns related to referrals
Prioritize tasks and manage workload effectively to meet deadlines and ensure timely completion of referral requests
Continuously seek opportunities for process improvement and efficiency in referral workflows
Provide excellent customer service to patients and stakeholders throughout the referral process
Attend meetings and training sessions as required to stay informed about changes in referral policies and procedures