Referrals Coordinator - Pasadena, CA, US

Only for registered members Pasadena, CA, US, United States

1 day ago

Default job background
$45,000 - $70,000 (USD) per year *
* This salary range is an estimation made by beBee
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 facilita ...
Job description

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


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