Referral Coordinator I-II - Surgical Subspecialty Clinic

Referral Coordinator I/II – Surgical Subspecialty The Referral Coordinator I/II is an integral part of the care team, supporting multiple specialties, including otolaryngology (ENT), urology, neurosurgery, and plastic surgery. The position works as a liaison between patients, providers, health plans, and various departments to ensure timely access to specialty care and diagnostic services. Approximate Salaries Referral Coordinator I: $24.31 – $34.04 per hour Referral Coordinator II: $25.53 – $35.74 per hour Distinguishing Characteristics This classification differs from the Medical Office Assistant classification series in that the primary responsibilities involve coordination of care rather than clerical, front‑office duties. It differs from the Medical Assistant classification series in that the latter is more clinically focused. The Level I differs from Level II in the complexity of the work performed. Incentives Educational Incentive: Incumbents may be eligible for 2.5%, 3.5%, or 5% based on completion of an Associate’s, Bachelor’s, or Master’s degree that is not required for the classification. Bilingual Incentive: Incumbents may also be eligible for a bilingual incentive depending upon operational need and certification of skill. Department / Agency Health Care Agency – Ambulatory Care, Surgical Clinics. Referral Coordinator I/II is an SEIU classification and is eligible for overtime compensation. Tentative Schedule Opening Date: 3/25/2026 Closing Date: 6/05/2026 Typical Duties Level I Initiates and completes the life cycle of the referral. Initiates and completes the pre‑authorization process. Communicates with insurance companies, physicians, and patients regarding referral status. Coordinates surgical referral appointments, answers phone calls, and monitors EHR reports and incoming faxes for errors and activities. Documents and updates specialty referral status on EHR and/or referral module as appropriate. Completes a modified referral/RAF/follow‑up assignment daily. Promotes an efficient continuity of patient care by initiating or participating in quality improvement projects. Demonstrates adherence to and observes all safety policies and procedures, including infection control rules and regulations. Demonstrates cultural sensitivity and competence with patients. Maintains and adheres to HIPAA, employee confidentiality, and privileged communications. Submits timely and accurate referrals into appropriate portals. Assists with coordination of care, including scheduling of specialty appointments and schedule‑management activities to optimize access. Ensures that each surgical referral has all necessary documentation (doctor’s notes, authorizations, required tests) prior to submitting for approval or external referral. Follows up with specialist office to request notes and close the loop after appointment. Collaborates with Medical Management, UM, and health plans to resolve issues with pending authorizations. Collaborates with contracting team to address issues related to patient referrals or specialty providers. Performs troubleshooting when problems arise; takes independent action to resolve complex issues. Provides support to providers with referral submission and modifications. Supports clinical staff with questions and redirects in conjunction with utilization management and medical management. May support clinic teams with referrals as a subject‑matter expert. Performs additional duties as assigned. Level II Supports surgery scheduling for all specialties. Collaborates with medical staff to coordinate post‑op appointments. Provides support with preparing and updating referral reports. Provides training, including development of written standard work. Typical Qualifications Education, Training, and Experience Level I: Three years of experience in a clinic setting, including one year performing duties related to the surgical referral process (authorizations and eligibility). Level II: Three years of experience performing duties similar to those of a Referral Coordinator I in a surgical clinic setting. Necessary Special Requirements Valid Basic Life Support (BLS/CPR) certificate at time of employment and maintained thereafter. Desired Medical Assistant certificate. Bilingual (English/Spanish). Knowledge, Skills, and Abilities Knowledge Medical terminology, health plans, and electronic health records. Procedural and diagnostic coding. Skills Operating a computer, e‑fax, and photocopy machine. Using Outlook, Word, Excel, and OneNote. Abilities Read, understand, and follow oral and written instructions. Effectively communicate verbally or in written format. Establish and maintain effective working relationships with patients, employees, and the public. Provide excellent customer service. Analyze data and workflows. #J-18808-Ljbffr Ventura County Fire Department