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REFERRAL COORDINATOR - HOAG CLINIC UTILIZATION MGMT

Department:  Business Services
Status:  Full Time
Shift:  1st

Hoag is seeking a Referral Coordinator to join the Team. In this role you will, prepares clinical data for physician approval and obtains authorizations; acts as a liaison between the patient, medical assistant, physician, and Central Business Office.

 

Essential Functions

Referrals Coordinator

 Ensures all referrals are completed.

 Ability to prioritize based on the urgency of referral.

 Processes authorization for consults and procedures on both fee-for-service as well as managed care patients.

 Advises the patient of receipt/denial of authorization requests.

 Maintains internal log of referral status per protocols of the medical office as well as documentation in the IDX system as outlined as outlined by CMS Department.

 Ensures accurate and timely completion of forms to expedite patient care.

 Supports referral process for all physicians, nurse practitioners, and physician assistants.

 Performs advanced functions of the EMR which are beyond the abilities of front and back office users.

 Ensures all authorizations are placed in the appropriate folder within patient charts.

 Enforce the communication of direct and indirect referrals to manage patient expectations.

 Provides excellent patient experience.

 

Required:

Referral Coordinator

 Experience in the outpatient health care system(s) including managed care.

 High School diploma or equivalent

Preferred:

 Previous experience with TouchWorks Utilization Standards

 Trained in coding compliance

 


Nearest Major Market: Orange County
Nearest Secondary Market: Los Angeles

Job Segment: Clinic, Medical, Patient Care, Manager, Medical Assistant, Healthcare, Management

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