Referral Coordinator

Description

We're excited to announce that our team is growing and we are adding 6 more team members!!!

Join Elica’s mission and become a part of a team where every day is an opportunity to make a positive impact in your community!

At Elica Health Centers, we share a common goal: provide the best possible patient care to our growing community! Our passion extends throughout Elica, from the exceptional healthcare services we provide to our underserved patients at our Community Health Clinics and state‑of‑the‑art mobile medicine program, Health on Wheels, to our Resource Center where we empower patients and members of the community to connect with resources to help them build healthy and full lives.

The Referral Coordinator is responsible for coordinating specialty care for patients in need of external consultation as requested by the provider. Responsibilities will also include obtaining authorization, tracking and maintaining appropriate documentation to support both providers and patients. Coordinates and ensures the smooth flow of the referral and authorization process to meet the needs of our patients, establish collaborative relationships with community specialists and insurance companies, and represent the organization professionally and positively.

Elica is proud to offer an exciting benefits package to qualifying full‑time employees which can support your health, your family, and help you plan for the future.

• Healthcare:
  Medical (Kaiser or Western Health Advantage), Dental, Vision
• Company funded Health Reimbursement Arrangement (HRA) to help pay for out‑of‑pocket costs related to medical coverage
• FSA Plans: 2 options for Flexible Spending Accounts - Health Care FSA and Dependent Care FSA
• 403B retirement savings account with up to 4% employer matching contribution and 100% immediate vesting.
• Company paid basic Life and AD&D Insurance. (supplemental life and AD&D options available)
• Paid time off and paid holidays.
• Employee Assistance Plan with five (5) free counseling visits, financial services, legal services, and a plethora of online resources.
• Tuition Reimbursement program and CME/CEU program.

Learn more about Elica’s services and mission at our website or check us out on Facebook.

• Coordinate the authorization and referral process for each assigned referral.
• Process referrals for requested services, ensuring timely and thorough completion.
• Monitor referral requests for completeness and take appropriate steps to review, request and obtain additional information when requested services are incomplete or inconsistent with scope of service.
• Assist providers, Patients and/or internal customers with cases pertaining to referral questions, issues and authorizations
• Provide accurate data entry of referral or authorization information into the electronic medical record.
• Send complete information to patient' insurance (when applicable) and referring specialist in order to coordinate referral.
• Consistently utilize the department's documentation protocols.
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
• Ensure referral is completed according to the department guidelines and within the appropriate time frame.
• Make outreach efforts to insurances, patient, specialist office and care team as set forth by department guidelines and clinical priorities.
• Handle telephone calls in a friendly, courteous and sensitive manner.
• Return calls and follow up in a timely manner.
• Interacts collaboratively with clinical staff, other ancillary departments, and outside entities (specialist office, insurances, etc.).
• Resolves differences in a spirit of cooperation and creates solutions, which benefits all parties, especially clinic patients.
• Assist and support the Center/Department/Program to meet standards of high reliability.
• Performs other related duties as indicated or when requested by the manager.

• High School Diploma or GED Equivalent
• Completion of a formal Medical Assistant or Medical Office Assistant program preferred or demonstrated comparable combination of training and…