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Referral Coordinator Specialty Care (part-time, days, FF)

Company: NorthBay Healthcare
Location: Fairfield
Posted on: March 15, 2020

Job Description:

req4038

Referral Coordinator Specialty Care (part-time, days, FF)

Part Time, FTE: 0.8;

Gateway MOB

Fairfield, CA

Job Summary:

Coordinates the referral process for patients and physicians utilizing access to care standards for all consults. Responsible to secure accurate patient demographics, authorizations and payer information in a timely manner to ensure patient care is not delayed. Verifies and documents eligibility and benefits for patient's specific payers. Ensures appropriate documentation is in the patient's Electronic Health Record (EHR). Schedules patient appointments and procedures as appropriate, and coordinates transfer of necessary records. Functions as the liaison to physicians and office staff, to expedite department/specialty access to care. Reviews and appropriately schedules patient appointments utilizing Department Specific appointment protocols.

Education:


  • High school graduate or GED required.

    Licensure and Certification:

    • None

      Experience, Knowledge, and Skills:

      • Minimum of one year's experience in a medical front office setting with experience and knowledge of health insurance/ benefit requirements required.
      • One or more year's experience working with medical insurance plans preferred
      • One or more year's experience working with referrals/consult processes in the specialty care setting. Examples: Pulmonology, Surgery, Urology, Women's Health, Gastroenterology, and Endocrinology preferred.
      • Strong organizational and written/spoken communication skills essential. Ability to work independently on a variety of complex tasks, managing competing deadlines.
      • In depth working knowledge of Windows and Microsoft Word. Knowledge of ICD-9 and CPT-4 coding Knowledge of medical terminology, and insurance rules and regulations required.
      • Detail oriented with typing and computer input ability and a working knowledge of general office machines required.
      • Strong ability to multi-task; schedule appointments for several multi-disciplinary clinics.

        Other:

        • The NorthBay Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Healthcare. The NorthBay Way principles consist of Caring, Communication, Collaboration, and Competence.

Keywords: NorthBay Healthcare, Fairfield , Referral Coordinator Specialty Care (part-time, days, FF), Other , Fairfield, California

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