Health Referral Coordinator

Unicare Community Health Center-Fontana 17500, 17500 Foothill Blvd, Fontana, California, United States of America

Referral Coordinator I is responsible for coordinating the care between the medical providers and the specialists to ensure that the patients are getting the appropriate care.

Responsible for processing the referrals submitted by health care providers in all referral queues.

Must complete the referral life cycle, submit-approve-notify patient-follow-up-secure medical records within the identified time periods.

Adhere to insurance requirements and closely communicate with clinicians for all clinical care needs to process a referral.

This tracking may use an EHR database.

Ensure complete and accurate registration, including patient demographic and current insurance information.

Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.

Present necessary medical information such as history, diagnosis, and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.

Review details and expectations about the referral with patients.

Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).

Identify and utilize cultural and community resources. Remind patients of scheduled appointments via mail or phone.

Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.

As directed by the Referral Supervisor , performs other related and/or necessary tasks to achieve organizational and programmatic goals and objectives.

Maintain regulatory requirements, including all state, federal and local regulations.

Comply with all organizational policies and standards regarding ethical business practices.

Participate in performance improvement and continuous quality improvement activities.

High school diploma or GED required.

Medical assistant certification preferred.

One (1) to two (2) years referral experience.

Possess personal qualities of integrity, credibility, and commitment to corporate mission.

Flexible and able to multitask; Physical Requirements and Environmental Conditions

Reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions of the position.

Hazardous Exposure (chemical [E.You will generally be scheduled to work each day Monday through Friday, with starting times each day varying between 8:00 a.m. There will be occasional Saturdays as needed.

You will need to travel to other clinic locations as needed for cross coverage support.

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