POSITION SUMMARY:
The Referral Coordinator is responsible for the referral of patients to outside agencies, and the appropriate follow up of those referrals per established policies and procedures. The Referral Coordinator reports to the Patient Center department manager or designee.

SPECIFIC DUTIES:

• Coordinates the referral of patients and appropriate follow-up of referrals per established policies and procedures.
• Completion of follow-up on all referrals including:
• Insurance authorizations
• Transmission of a “summary of care” record and other medical information to specialist
• Appointment scheduling or rescheduling
• Patient notification of appointments and requirements
• Receipt of consult notes and attaching them to the medical record
• Referral tracking activities to include all of the above elements
• Answers the telephone and provides information with respect and courtesy while also being effectively and efficiently. Communication methods may require interpretation and translation.
• Ongoing knowledge, documentation and up-date of appropriate referral resources, required forms and key contact persons.
• Continued resource for outlying sites regarding referral program and resource contacts
• May be involved in other programs as assigned
• Performs other tasks as assigned

MINIMUM REQUIREMENTS:

• High School Diploma or GED AND One (1) year of experience as a referral coordinator or similar type duties working with the referral of patients for treatment and diagnostic studies, OR One (1) year of full time experience in a medical office setting. Experience working in a Federally Qualified Health Center (FQHC) is highly preferred
• Valid California driver’s license, proof of insurance, and personal transportation

PERFORMANCE REQUIREMENTS:

• Knowledge of business office procedures
• Knowledge of ICD-9 and CPT codes
• Knowledge of all CMC program referral requirements
• Knowledge of Managed Medi-Cal and EDS Medi-Cal Tar Requirements
• Knowledge of all insurance pre-authorization requirements and documentation
• Knowledge of grammar, spelling, and punctuation to type patient information
• Skill in operating computer, including population management/tracking software and , photocopy and facsimile (FAX) machine
• Skill in greeting patients and answering the telephone in a pleasant and helpful manner
• Ability to communicate clearly
• Ability to establish and maintain effective working relationships with patients, employees, and the public
• Listen skillfully and display a willingness and ability to acknowledge the needs, expectations and values of others through the use of reflective listening and empathy conveyance.
• Communicate clearly and effectively by using welcoming words, proper tone of voice, appropriate body language, eye contact and smiling with every interaction
• Ability to provide excellent customer service that is reflective of a culture that values trust and respect

TYPICAL PHYSICAL DEMANDS:
Work may require sitting for long periods of time; also stooping, bending and stretching for files and supplies. Occasionally lifting files or paper weighing up to 35 pounds. Requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, and other such office equipment as necessary. Vision must be correctable to 20/40 and hearing must be in the normal range for telephone contacts. It is necessary to view and type on computer screens for long periods and to work in an environment which can be very stressful.

TYPICAL WORKING CONDITIONS:
Work is performed in a centralized facility that services all of CMC. Site specific work may be accomplished in reception, medical records, and cashier areas. Involves frequent indirect contact with patients, external provider staff, and insurers via phone, mail and web portals. Work is fast paced and may be stressful at times. Performance is monitored by the supervisor and workload is frequently adjusted to organizational need. Contact involves dealing with sick people.

Job Type: Full-time

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