Referral Coordinator

Auburn

126 Auburn Ave

Auburn, WA 98002, USA

• Travel Required :
  No

Pay Rate: $22.50 to $30.84 USD

Schedule: Monday to Friday, 8:00 a.m.

-5:00 p.m.

Would you like to have a career that makes a daily difference in people’s lives? Do you want to be part of a caring, respectful, diverse community? If you answered yes to these questions, keep reading!

HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is,
because everyone deserves great care
.

Position Summary:

The referral coordinator position is responsible to ensure patients have access to specialty care services by developing exceptional relationships with HealthPoint providers, patients and community partners to ensure specialty care needs are met. As a referral coordinator you will be responsible for tracking referral statuses, coordinating specialty care for patients and working with all parties to ensure an exceptional patient experience.

Compensation is dependent on skills and experience.

Your contribution to the team includes:

• Responsible for verifying eligibility, dates of coverage and benefits for specialty services with a high level of detail to ensure minimal disruptions or delays in care for patients
• Process referrals by coordinating chart notes, recent labs, diagnostics and other required documents to adhere to HealthPoint and Insurance guidelines related to referral requirements
• Communicate, problem solve and prioritize issues with patients, external specialists, HealthPoint providers, HealthPoint Managed Care department and health plans as appropriate.
• Adhere to HealthPoint policy and HIPAA laws to ensure patients information is protected and documented safely
• Act as liaison between Managed Care insurances and HealthPoint providers to coordinate prior authorizations for patient specialty care and diagnostics
• Develop and maintain contacts with specialists and diagnostic facilities and actively maintain master specialist list and accepted insurances
• Manage incoming messages and calls to ensure continuity of care for patients’ access specialty providers
• Tracking of high-risk referrals month to month and maintain consistent communication with external partners to ensure our patients receive care within the appropriate time
• Regular review of monthly reporting to ensure adherence to monthly processing times, and all referral statuses are up to date
• Update referral database with consultative reports received and print out additional reports as needed.
• Communicate approval or denial of referral authorization to patient and referring provider.
• Maintains good attendance, is punctual and works full scheduled shift is a condition of employment.
• Demonstrates respectful, professional and appropriate behavior that supports a team oriented work environment.
• Demonstrate a commitment to the mission, core values and goals of HealthPoint and its healthcare delivery including the ability to integrate values of integrity, wisdom, creativity, cooperation, responsibility and respect into appropriate programs and services.
• Identify patients that may be eligible for case management services outside HealthPoint.
• Perform other duties as assigned by supervisor.

Must have’s you’ll need to be successful:

• Associate’s degree (AA) or equivalent from a two-year college or technical school and two years’ medical experience in a medical setting; or equivalent combination of education and experience.
• Ability to read and interpret technical and other complex documents.…