What are the responsibilities and job description for the Referrals Coordinator position at Community Health Alliance of Pasadena?
Primary Duties
- Assessment
- Assesses the patient's plan of care based on the referral submitted and
develops, implements, monitors and documents the utilization of community resources.
Referrals Coordinator will assist the patient through their referral care by facilitating
options and services in the community to meet the patient's health care
needs. - Coordination - Ensures all
medical records, referral forms, and required documentation is complete and is
submitted to the referral entity in a timely manner. Obtains referral authorization
from insurance carriers and relays such authorizations (or denials) to the
patient and the provider. Carry out
provider orders, such as standing
orders and referrals. Resolves all pre-authorization, registration, or
other referral-related issues prior to a patient's appointment. Verifies that
all pre-authorizations, registrations and other referral-related documents are
completed in accordance with federal, state and local regulations. Maintain
tracking system for patients scheduled appointments and two-way communication
between the PCP, specialists, and/or other providers. - Monitoring - Medical Case Prioritizes
workflow and maintains appropriate work volume according to established
procedures. Responds to incoming faxes
and telephone calls regarding pending referrals, including timely response to
voice mail messages. Ensures accurate
and timely communication with patients, providers, and other staff. Maintains updated referral resources. Performs other duties including but not
limited to: receiving patient documents and updating referrals, composing and
typing general correspondence using correct medical terminology, using office
equipment such as copier, fax machine, and computers. Maintains a clean, safe
and orderly environment.
Qualifications
Experience
- Three
(3) years of experience in the field related to medical or health care, one (1)
year experience of which was directly related to the referral process. Education
or Experience may be substituted. Experience with EHR preferred (not required).
Education
- Associate
degree from an accredited university. - CPR
Certified