Referral Coordinator (4722C), University Health Services - 34542 About Berkeley
At the University of California, Berkeley, we are committed to creating a community that fosters equity of experience and opportunity, and ensures that students, faculty, and staff of all backgrounds feel safe, welcome and included. Our culture of openness, freedom and belonging make it a special place for students, faculty and staff.
The University of California, Berkeley, is one of the world's leading institutions of higher education, distinguished by its combination of internationally recognized academic and research excellence; the transformative opportunity it provides to a large and diverse student body; its public mission and commitment to equity and social justice; and its roots in the California experience, animated by such values as innovation, questioning the status quo, and respect for the environment and nature. Since its founding in 1868, Berkeley has fueled a perpetual renaissance, generating unparalleled intellectual, economic and social value in California, the United States and the world.
We are looking for equity-minded applicants who represent the full diversity of California and who demonstrate a sensitivity to and understanding of the diverse academic, socioeconomic, cultural, disability, gender identity, sexual orientation, and ethnic backgrounds present in our community. When you join the team at Berkeley, you can expect to be part of an inclusive, innovative and equity-focused community that approaches higher education as a matter of social justice that requires broad collaboration among faculty, staff, students and community partners. In deciding whether to apply for a position at Berkeley, you are strongly encouraged to consider whether your values align with our Guiding Values and Principles , our Principles of Community , and our Strategic Plan .
Departmental Overview
UC Berkeley's University Health Services (UHS) is a comprehensive college health service providing fully accredited, primary medical care, counseling and psychological services, and innovative health promotion programs for students, faculty, and staff. UHS provides on-campus medical care and coordinates supplemental needs for off-campus care through a network of community specialists and hospitals. UHS manages the student health insurance and workers' compensation insurance programs.
Approximately 65,000 visits occur annually including Primary Care, Urgent Care, Occupational Health and Specialty Clinics. Services are designed to minimize the impact of illness, emotional distress and injury on studies and work. The Social Services (SOS) unit offers short-term counseling, groups, case management and nutrition services to the campus student population. Counseling staff consists of social workers who provide compassionate specialty counseling on a range of specific and highly sensitive topics. Coupled with health promotion and public health programs, UHS reaches all segments of the Berkeley campus community. Learn more about UHS by visiting uhs.berkeley.edu.
Application Review Date
The First Review Date for this job is: May 3, 2022.
Responsibilities
Referral Coordination
Primary liaison between clinical staff, insurance representatives and patients. Maintain up-to-date contact lists for specialists, and develop relationships with specialist offices. FAX relevant referral documentation to specialists and confirm receipt. Assist and advocate for patients who have referral scheduling issues. Ensure patients are scheduled in a timely manner to appointments in UHS or external community resources, as guided by clinician referral order urgency. Request patient reports from specialists in a timely manner, or as needed and requested by the providers, includes accessing records from provider portals such as SutterLink, NorCal Imaging, and others as needed. Assist Care Manager to set up complex patient care follow up. Ensure continuity of care through tracking and monitoring referral requests, authorizations, appointment reports, and patient follow up. Ensure clinical consult notes/diagnostic reports are received from outside providers in a timely manner and shared with ordering/referring provider or designee. Maintain referral tracking system in the EHR. Work with leadership to monitor referral utilization via biannual report out. Assist with medical prior authorizations, scheduling, tracking and follow up.
Administrative duties
Partner with Health Records to update patient electronic health records when documents are received from external sources. Assist with urgent records requests and scanning of faxes and documents (lab test results, diagnostic studies, letters, medical records, etc.,) into electronic medical records within HIPAA standards. Assist with responding to electronic communications (including email and secure messages) from patients, clinicians, claim adjusters. Run reports, as needed, from the electronic medical record. .Take notes during clinic meetings. Support with scheduling appointments, and printing documents as needed. Reports, intervenes appropriately and documents unsafe conditions and/or adverse patient conditions. Completes incident reports as per UHS protocol.
Other Duties as needed
Specific support of intercollegiate athletics sports medicine. Coordinate efforts with athletic trainers and insurance representatives. Assist with prior authorizations, scheduling, tracking and follow up. Work on special projects as assigned by the Nurse manager. Additional duties as assigned.
Required Qualifications
Extensive administrative and clerical experience in a fast-paced health care related setting. Experience using a computerized appointment system and multiple phone line systems. Working knowledge of Microsoft Suite, and Google applications. Excellent customer service skills. Excellent verbal and written communication skills. Ability to understand and follow written protocols for patient care. Must have basic understanding of medical terminology, human anatomy, and standard medical procedures. Must have a general understanding of diagnosis codes and procedure codes. Must understand and comply with HIPAA, and all regulations regarding the confidentiality of employee medical records. Must be literate with computer applications for practice management, medical records and patient tracking. Must be able to work in a collaborative manner. Must be flexible and willing to adapt work assignments in accordance with clinic needs. Demonstrates responsibility and accountability for own practice. Able to work independently and anticipate patient and clinic needs. Respect the rights of others. Ability to think critically and problem solve. Understand and uses resources appropriately and effectively. Requests and accepts constructive criticism. Share knowledge in a constructive manner. Seeks to improve skills and knowledge and meet job related goals via local, regional and community resources. Demonstrates punctuality to work and required meetings. Maintains attendance and follows call-in policy as per UHS guidelines.
Education
High school diploma or GED and/or equivalent training or experience.
Preferred Qualifications
Prior experience in a health care clinic. Specialized knowledge of insurance authorization, methods to track referrals. Prior experience with Electronic Health Records. More than 2 years experience in an administrative outpatient medical or medical insurance setting.
Salary & Benefits
This is a full-time (40 hours/week), non-exempt, career position, eligible for full UC benefits. This position is a non-exempt, bi-weekly paid position. Hourly pay for this role is commensurate with experience within the range of $25.65 - $30.07 (Step 1.0 - 8.0). For information on the comprehensive benefits package offered by the University visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html