REFERRAL COORDINATOR

Referral Coordinator at AllCare Health with the AMG Admin Team at our AllCare Medical Group - Mountainview Clinic in Grants Pass, Oregon

We Are Seeking Qualified Candidates to Join Our Team!

AllCare Health offers competitive wages, an excellent benefits package including affordable healthcare, 401k retirement, wellness programs, and flexible schedule options.

Summary

This position is responsible for managing and coordinating outside specialty appointments requested to ensure continued continuity of patient care timely and professionally; as well as working closely with area hospitals, ancillary departments, and specialty physicians, nursing facilities, patient families, and the general public.


Essential Duties

1. Manage and coordinate all medical referrals thru the Electronic Health Record system.
2. Communicate directly with patients by giving and receiving information, as well as building rapport with them.
3. Process insurance referrals and maintain quality documentation on each insurance authorization.
4. Maintain close communication with key insurance companies to ensure that referrals are completed and followed up per requirements.
5. Solve problems independently and within a team environment.

Summary

This position is responsible for managing and coordinating outside specialty appointments requested to ensure continued continuity of patient care timely and professionally; as well as working closely with area hospitals, ancillary departments, and specialty physicians, nursing facilities, patient families, and the general public.


Essential Duties

1. Manage and coordinate all medical referrals thru the Electronic Health Record system.
2. Communicate directly with participants by giving and receiving information, as well as building rapport with them.
3. Process internal referrals and maintain quality documentation on each authorization.
4. Maintain good communication with the Interdisciplinary team to ensure referrals are completed and followed up per regulations.
5. Solve problems independently and within a team environment.

Job Duties

• Greets/assists patients with front office concerns and provides exceptional customer service to patients, providers, office staff, and other representatives via inbound and outbound calls as well as in person.
• Receives inquiries and requests, and performs research and responds accordingly.
• Performs data collection and data entry, following through and documenting the interaction.
• Utilizes the computer system according to departmental protocols to include accurate data entry and retrieval of information for reporting purposes.
• Triages patients for same day appointments, recording vital signs, current medication list, and chief complaint.
• Handles phone triage of patients calling with non-medical concerns
• Arranges referrals, prior authorizations, orders labs and studies.
• Schedules patients for appointments, and inputs/updates patient demographic information in the EHR system
• Arranges professional contacts and calls in orders appropriately as directed by MD and NP staff.
• Collects co-pays when necessary.
• Ensures rooms and equipment are kept clean; maintains laboratory equipment when necessary.
• Covers and fills in for staff members as needed for efficient functioning during regular office days
• Information access: entire medical record and insurance information, limited billing and collection accounts to enable coverage for clinic supervisor when necessary.
• Maintains effective communication with patients, co-workers, and supervisor.
• Maintains punctual, regular and predictable attendance.
• Works collaboratively in a team environment with a spirit of cooperation.
• Respectfully takes direction from the Practice Manager.
• Meets all required training including those listed in Relias Learning Module System (LMS).
• Other duties as assigned.

On Call Responsibilities

This position does not have any on call responsibilities.

Supervisory Responsibilities

This position does not have any supervisory responsibilities.

Qualifications

Ability to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of employee or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

All health care providers who are HIPAA covered entities, whether individuals or organizations, must get an NPI. Under HIPAA, you're a covered health care provider if you electronically transmit health information in connection with a HIPAA standard transaction, even if you use a business associate to do so. AllCare Health employs staff that are defined under OHA or CMS as health care providers. Positions that are defined as providers include, but are not limited to, Doctors, Nurse Practitioners, Physical Therapists, Traditional Health Workers, and Certified or Qualified Healthcare Interpreters.


Education & Experience

• High School diploma or GED equivalent with a minimum of 2 years of medical office experience, including prior referral experience, required.
• Insurance medical billing and coding expertise, preferred.
• Coursework in medical terminology, preferred.

Certificates, Licenses and/or Registrations

This position does not have any certificates, licenses or registrations required.

Language Skills

Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

Mathematical Skills

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Computer Skills

Has advanced basic computer job skills including logging on to systems, ability to communicate by email, ability to compose documents, enter database information, create presentations, download forms, and preserve/backup important data.

Reasoning Ability

Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to work with problems involving a few concrete variables in standardized situations.

Interpersonal Skills

• Attentive, empathetic, and wants to learn.
• Collaborates and finds ways to work with our diverse culture.
• Empathy for others.
• Ability to work with people with mental illness and from diverse backgrounds and experiences.
• Ability to work extended hours to see issues through to resolution.

Physical Demands & Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties of this job. The work environment characteristics described here are representative of those an employee encounters while performing the essential duties of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties.

The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and depth perception. While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel and talk or hear. The employee is frequently required to sit. The employee is occasionally required to stand and walk. The noise level in the work environment is usually moderate.

Company Overview

AllCare Health Website:

AllCare Health is incorporated as an Oregon Benefit Corporation and has earned the coveted Certified B Corp® status since 2017. As such, AllCare Health considers its impact on community, society, and the environment in all business decisions. We have long recognized the value in social, economic, and environmental concerns of our employees, customers, and community members. (Learn more about B Corps at

AllCare Health headquarters are located in Grants Pass in Southern Oregon on the Rogue River, surrounded by mountains, forests, small farms, and breathtaking views. This thriving and energetic community is ideal for families and outdoor enthusiasts, with a temperate Pacific Northwest climate. We enjoy easy access to outdoor sports and recreation, river rafting, fishing, hiking, biking, wineries, outdoor concerts, the world-famous Ashland Shakespeare Festival, the stunning Oregon coast, magnificent redwood forests, pristine beaches, and much more.

The AllCare Health family of businesses is guided by our corporate principles:

Purpose | Working together with our communities to improve the health and well-being of everyone.

Values | Trust, Innovation, Relationships, and Voice.

Vision | Thriving, Inclusive, and Equitable communities.

Brand Promise | Changing Healthcare to Work for You.

AllCare Health is dedicated to building a diverse and authentic workplace centered in belonging and serving our growing community. If you are excited about this open position but your experience does not align perfectly with every qualification in this post, we encourage you to apply anyway or reach out to our human resources department. You may just be the right candidate for this role or others.


If you need accommodations, help in the application process, or wish to receive this job announcement in an alternative format, please call View phone number on click.appcast.io and ask for Human Resources.

All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.

Monday-Friday 8:00AM-5:00PM with a 1 hour unpaid lunch and two 15 minute paid breaks
40 Hours