Job Description
UNICARE IS ACTIVELY SEEKING A CANDIDATE FOR THIS POSITION; EVEN DURING COVID-19
Hiring a full-time Spanish bilingual referral coordinator with a minimum of two years experience in family practice setting.
SUMMARY:
Referral Coordinator is responsible for coordinating the care between the medical providers and the specialists to ensure that the patients are getting the appropriate care.
QUALIFICATIONS AND EXPERIENCES:
• Strong customer service focus
• Effective verbal and written communication skills
• Teamwork orientation
• Organized and able to manage competing priorities
• Good judgment
• Resourcefulness in problem solving
• Able to take and follow through with delegated tasks and accountability
RESPONSIBILITIES:
• Maintain ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety. 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.
• Contact review organizations and insurance companies to ensure prior approval requirements are met. 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).
• Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
• Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
• Ensure that referrals are addressed in a timely manner.
• 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.
EDUCATION AND TRAINING:
• High school diploma, sometimes combined with medical assistant certification
WORK HOURS:
Monday-Friday, 9am to 6pm, part or all of an 8 hour shift. Occasional Saturday shift may be required
Company Description
Unicare Community Health Center (UCHC) is a Federally Qualified Health Center with clinics located in Ontario, San Bernardino, Colton, Fontana, Pomona, Riverside, Corona, Moreno Valley and East Los Angeles. UCHC is a grass roots, community-based, 501(c)(3) nonprofit organization whose duty is to serve the unmet health care needs of low-income persons and their families. Our mission is to be a community health care organization that treats everyone with dignity, respect and cultural sensitivity to help create an environment in which all can prosper.