Job Details:

Job Location: 7 Directions 2950 Oakland - Oakland, CA

Position Type: Full Time

Education Level: High School

Salary Range: $23.97 - $28.25 Hourly

Travel Percentage: Up to 25%

Job Shift: Day

Job Category: Admin - Clerical

POSITION:

Referral Coordinator

DEPARTMENT:

Medical

REPORTS TO:

Senior Medical Clinic Manager

LOCATION:

Native American Health Center, Inc. (NAHC) 2950 International Blvd., Oakland, CA 94601

WORK HOURS:

Full Time, 40 Hours per week, 100% FTE STATUS: Union, Non-Exempt

POSITION SUMMARY

The Referral Coordinator (RC) is key member of the Medical department and is responsible for managing patients’ medical referrals to specialists, ancillary services, and to other NAHC departments. The RC will track all referrals in patients’ electronic health records, work closely and proactively with the clinical care pods (i.e., providers, MA’s, RN’s, Care Coordinators) to ensure patients’ referrals are effectively managed from start to finish, and that information is updated and available in the electronic health record (EHR) system. This position requires a high level of customer service.

DUTIES AND RESPONSIBILITIES

1. Manage and coordinate all referrals generated in the Medical department from start to finish.
2. Responsible for verifying eligibility and benefits through insurance companies.
3. Responsible for coordinating and processing prior authorizations for each assigned referral.
4. Proactively work with Medical Assistants to ensure follow up on patients’ specialty appointments.
5. Schedule specialty appointments for patients; notify and remind patients of such appointments.
6. Provide patient education on specialty appointments and address all patient questions.
7. Refer patients to NAHC’s Eligibility Specialist as needed.
8. Maintain a tracking system for referred appointments.
9. Check Referral voicemail once per clinic, return calls, and provide referral statuses to patients.
10. Document all telephone calls and letters in the EHR.
11. Develop and cultivate positive working relationships with specialist providers.
12. Document referral workflows and support Site Director in developing and editing on-boarding materials.
13. Train incoming staff on referral processes.
14. Proactively work with RN Clinic Manager, Lead Physician and Site Director to resolve any technical or flow issues regarding referrals.
15. Attend internal and external meetings as requested by supervisor.
16. Demonstrate understanding and apply working knowledge of safety policies.
17. Safely performs all duties; follows required protective protocols.
18. Actively participate in internal quality improvement teams.
19. Keep all protected health information (PHI) confidential.
20. Work well under pressure, meet multiple and often competing deadlines.
21. Demonstrate cooperative behavior with supervisors, subordinates, colleagues, clients and the community.
22. Other duties as assigned by Supervisor.

Qualifications:

MINIMUM QUALIFICATIONS

1. Must have high school diploma or equivalent.
2. One year of work experience in a health care setting.
3. Vaccination Level 1: Must be able to provide TB, Physical, seasonal flu and proof of Vaccination immunity.
4. BLS/CPR certification must be obtained prior to start date.
5. Computer literate and have experience with Microsoft Office suite.
6. Knowledge of medical terminology.
7. Sufficient skill in typing; have the ability to type a minimum of 25-30wpm.
8. Must be well organized; set priorities appropriately.
9. Possess excellent customer services skills.
10. Excellent communication skills, both verbal and written.
11. Must be able to exercise independent judgment.
12. Fluency in both English and Spanish may be required.
13. Committed to working with a medically underserved community.

PREFERRED QUALIFICATIONS

1. An AA degree is preferred.
2. Diploma or certification from an accredited medical care program.
3. Previous experience with Electronic Health Records (EHR).
4. Experience working with i2i databases.
5. Previous experience working in a community health center is desirable.
6. Knowledge of managed care, ICD-9, ICD-10 and CPT codes is preferred.

Benefits:

Native American Health Center (NAHC) considers our employees to be our most valuable resource and offers an excellent benefit package.

Note to Applicants:

Please be advised a post job offer, pre-employment Physical and TB test are required as a condition of employment.

EQUAL OPPORTUNITY EMPLOYER:

Within the scope of Indian Preference, all candidates will receive equal consideration.