Referral Coordinator-Pulmonary Clinic; Rancho Mirage

Position: Referral Coordinator-Pulmonary Clinic (Rancho Mirage)
# Referral Coordinator-Pulmonary Clinic (Rancho Mirage)
Category Administrative Support Schedule Full  Time Job NumberR
0274827

Shift Day Location Rancho  Mirage,CA92270

Hours8 Hour Shift Department Pulmonary Clinic (Rancho Mirage)
Salary Range $19.72-$29.95 / hour  For 10 hour and 12 hour shifts this is the average hourly rate which includes overtime when a non-exempt employee works over 8 hours.
* Share Job:
* Email
*
* Job Description:

***
* Education:

*
* Required:

High school diploma, GED or higher level degree if hired after March 1, 2025
** Licensure/Certification:
** N/A
*
* Experience:

*
* Required:

One (1) year of experience in a clinical/ambulatory care setting  Preferred:

Experience with electronic scheduling and insurance/HMO authorizations
** Job Objective:
** Coordinates incoming patient referrals, including insurance referrals, and performs front office duties. Ensures all referrals are reviewed and transcribed into Epic; manages assigned work queue(s), including medical records requests, preparation of medical charts, returning phone calls and facilitating physician’s orders in conjunction with clinical staff.
*
* Essential Responsibilities:

*** Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.
* Manages clinic Electronic Medical Record (EMR) incoming/outgoing referral work queues; facilitates patient appointments or referral to intended clinic accordingly and in a timely manner.
* Establishes and maintains an open and collaborative relationship with clinics and departments to facilitate a seamless referral process.
* Answers all patient questions, requests and telephone/written correspondence timely and appropriately to ensure a positive experience.
* Verifies accurate and complete patient, guarantor and insurance carrier information for billing and follow-up.
* Submits required documentation to support treatment for referral completion; ensures insurance authorization is received timely.
* Manages and organizes all outgoing documents sent to central Health Information Management (HIM) for scanning/indexing: ensures proper patient identification on each document and appropriateness of documents to be scanned.
* Requests and obtains medical record data from referring offices and organizations, as needed.
* Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured cash discount quotes for emergency and outpatient services; provides patient with receipt of payment, if applicable.
* Coordinates with clinical staff to obtain medical records to submit to HMO insurance, if applicable.
* Contacts patients to schedule annual Medicare wellness visits and annual HMO physicals in collaboration with nurse, if applicable.
* Covers front desk duties; answers phones, retrieves voicemail messages and returns calls timely and appropriately, if applicable.
* Performs other duties as assigned.
* Written and verbal communication skills
* Ability to successfully complete training orientation program(s) and competencies
* Ability to organize information or data to facilitate easy retrieval and use
* Ability to create a welcoming environment for patients and visitors, demonstrating empathy and respect in all interactions
* Basic knowledge of insurances, including eligibility and benefit coverage, and other relevant information
* Ability to handle difficult and stressful situations in a calm and professional manner
* Ability to adapt quickly to changing priorities and unexpected situations
* Ability to effectively communicate in a positive and professional manner
* Critical thinking skills
* Self-starter; driven to take action without needing prompting
* Knowledge of Epic scheduling, registration and communication tools
* Ability to operate general office equipment (i.e., computer, printer, scanner, telephone, etc.)
* Ability to use Microsoft Office Suite (Word, Excel, Outlook, PowerPoint) and other relevant software applications### Eisenhower Health offers a generous benefits package and a matched retirement plan.

Employees are eligible to participate in a benefits program designed to make a difference for you and your family.
#J-18808-Ljbffr