Referral Coordinator: Hoag Clinic Claims & Enrollment

Referral Coordinator: Hoag Clinic Claims & Enrollment Job Description Primary Duties And Responsibilities The Referral Coordinator prepares clinical data for physician approval and obtains authorizations; acts as liaison between patient, medical assistant, physician, and Central Business Office. Ensures all referrals are completed. Processes authorization for consults and procedures on both fee‑for‑service as well as managed care patients. Advises the patient of receipt/denial of authorization requests. Supports referral process for all physicians, nurse practitioners, and physician assistants and prioritizes based on urgency. Manages internal log of referral status per protocols and documents in systems. Ensures the communication of direct and indirect referrals to manage patient expectations. Performs other duties as assigned. Qualifications Education and Experience Required: Experience in outpatient health care system(s) including managed care High School diploma or equivalent Preferred: Previous experience with TouchWorks Utilization Standards Trained in coding compliance License Required: N/A License Preferred: N/A Certifications Required: N/A Certifications Preferred: N/A Job Info Job Identification 129284 Job Category Outpatient Clinics Job Shift Day Locations 2975 Red Hill Ave, Costa Mesa, CA, 92626, US Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives. #J-18808-Ljbffr Hoag Health System