Referral Specialist Full-Time
Petaluma Health Center
Petaluma Health Center Position The Petaluma Health Center's mission is to provide high quality health care with access for all in Southern Sonoma County & West Marin. We pride ourselves on our Patient-Centered care while maintaining an engaging environment for our staff. The Center accomplishes this mission through collaborative, innovative programs, services and referral resources that meet the economic needs of the entire community.
Full Time Employee Benefits:
10 Observed Holidays
Medical Insurance (Entire deductible paid by us!)
30 Chiropractor and Acupuncture visits per year included with enrollment in our health insurance plans (Kaiser and WHA)
Dental Insurance
Flexible Spending Account, Dependent Care FSA
Life Insurance (included at no cost to the employee)
Long Term Disability (included at no cost to the employee)
Employee Assistance Program (included at no cost to the employee)
Entry level position responsible for providing excellent patient care and customer service by ensuring that a patient's insurance allows them to access specialty services via coordination, processing, and completing of all internal and external specialty clinic referrals authorizations within expected timeframe.
Patient Care
Provides assistance to uninsured patients to be enrolled in PAP program.
Customer Service
Makes and/or answers phone calls regarding any referral questions.
Maintain extensive resource directory for PHC staff and patients for access of community resources.
Referral Tracking
Tracks the completion of the referral process within expected timeframe.
Track referrals by using structured data to maintain up to date accurate information.
Knowledge of managed care requirements for referrals.
Participates in MAA Coordination and Claims Administration, including but not limited to completion of the annual time survey.
Perform other duties as assigned by Referrals and Specialty Clinics Operations Manager or Director of Clinical Operations
High school graduate with medical office training.
Two years experience with insurance, referrals, authorizations, and community contacts.
An energetic and creative individual with high standards and an appropriate professional image.
Proven ability to handle multiple projects and meet deadlines.
Effective interpersonal skills to work effectively with all levels within the health center.
Language Skills: Ability to communicate effectively in English and Spanish with children and adults in person, on the telephone, and in writing. Petaluma Health Center is an Equal Opportunity Employer. Petaluma Health Center does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law.
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