Referral Coordinator

Referral Coordinator

The Referral Coordinator is the resource person for both the patients and clinicians of Marin City Health and Wellness Center in either their Bayview San Francisco or Marin City clinics. The Referral Coordinator works closely with clinicians to coordinate patient care with other healthcare offices, hospitals, agencies and programs.

Essential Duties and Responsibilities:

• Responsible for completion and processing of all authorizations and referrals ordered by providers and requested by patients for services inside and outside of MCHWC
• Verification of patient insurance eligibility
• Maintain authorizations/referral information in patient chart through a tracking mechanism
• Maintain extensive resource directory for MCHWC staff and patients for access of community resources
• Knowledge of managed care requirements for referral
• Ensure superior customer service to patients, including problem resolution.
• Punctuality, regular and reliable attendance
• Performs other duties as directed, developed or assigned

Supervisory Responsibility: N/A

Qualification Requirements:

Education and/or Experience:

• Minimum 1 year in administrative work in a health care
• Experience with insurance, referrals, authorizations, and community contacts highly preferred
• Ability to work independently with little or no supervision.
• Proficient with Microsoft Word, PowerPoint, Excel, and Outlook
• Experience providing strong customer service
• Excellent communication skills written and verbal
• Sensitivity to the needs and situation of multi-cultural population from a variety of income levels
• Excellent attention to detail

Language Skill:

• Ability to communicate effectively in person, on the telephone, and in writing
• Ability to effectively present information and respond to questions and requests from patients, co-workers and others, as necessary
• Must possess excellent organization, writing, and verbal skills
• English proficiency required; Spanish proficiency preferred

Reasoning ability:

• Ability to recognize problems, collect data, and establish facts
• Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Equipment/Machinery: Fax machine, copier, personal computer, telephone, calculator, Microsoft Word/Excel, EHR system, and other software as required.

Physical Demands : The physical demands described here are representative of those that must be met by an individual to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Stand and walk or sit alternatively depending on specific needs of day. Estimate 20% of time is spent on feet and 80% sitting at desk.

Have occasional need to perform the following physical activities: bend/stoop/squat, climb stairs, push or pull, reach above shoulders.

Have occasional need to perform standing and walking activities.

Constant need to perform the following physical activities: writing/typing, grasping/turning, finger dexterity.

Lifting/carrying over 10 pounds occasionally. Lifting/carrying less than 10 pounds frequently.

Vision requirements: constant need to complete forms, read reports, view computer screen. Frequent need to see small detail. Frequent need to see things clearly beyond arm's reach.

Hearing requirements: constant need to communicate over telephone and in person.

Travel Requirements: Minimal need to utilize personal transportation to attend meetings and/or trainings.