PURCHASED REFERRED REFERRAL COORDINATOR I

POSITION SUMMARY:

Under the general supervision of the Health Information Management & Purchased Referred Care Supervisor, the Purchased Referred Referral (PRR) Coordinator I, is responsible for timely processing, documenting and follow-up, including closing, of all Sonoma County Indian Health Project, Inc’s (SCIHP) patient referrals. The PRR Coordinator I will obtain the necessary authorizations and pre-certifications from various insurance carriers. With little supervision, the PRR Coordinator I will make interpretations and exercises discretion in routine situations. The PRR Coordinator I will provide assistance in a culturally appropriate manner to the patients of SCIHP.

EDUCATION AND EXPERIENCE:

• High school diploma or general education degree (GED); or minimum one (1) year of related experience and/or training; or equivalent combination of education and experience.
• Prior experience making referrals is preferred.
• Medical Assistant (MA) and/or Health Information Management (HIM) Tech experience is preferred.
• Experience working with Electronic Health Record (EHR) systems is preferred.
• CPR- CPR-Cardiopulmonary Resuscitation Certification

QUALIFICATIONS:

• Must comply with Federal and California laws regarding the use and disclosure of individually identifiable health information, with the provisions of the Health Insurance Portability and Accountability Act (HIPAA).
• Ensure the confidentiality of all records, and any information received in writing, verbal, or other forms.
• Greet all patients and visitors in a warm and friendly manner.
• Ability to explain referral procedures to patients.
• Establish and maintain constructive working relationships.
• Ability to write routine reports and correspondence.
• Prepares and maintains appropriate files, documents and records of processed referrals.
• Possess excellent communication skills, reporting skills and excellent interpersonal skills.
• Ability to add, subtract, multiply, and divide, using whole numbers, common fractions, and decimals.
• Ability to apply common sense understanding to carry out instructions both written, and/or verbal.
• Must respect the confidential nature of medical information.
• Able to work efficiently and cope with emergency situations.
• Capable of using experience and judgment to plan and accomplish goals.
• Able to read and interpret documents: charts, insurance verifications, authorizations, and pre-certifications.
• Proficient in MS Office (Word, Excel and Outlook), Electronic Health Record (EHR).
• Ability to operate standard office equipment (Fax, Copier, etc.).