Referral Coordinator ($1000 Sign-On Bonus)- Eureka, CA

Employer: Providence Holy Family Hospital

Job Description:
We are looking for a Referral Coordinator with a $1,000 Sign-On Bonus for the HUM HARRIS Neurosurgery Department at Providence Medical Foundation. $1,000 Sign-On Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment.

Location: Eureka, CA
Work Schedule: Full Time - 80 Biweekly Hours
Shift: 8-hour, Days

Job Summary:
The Referral Coordinator prepares clinical data for physician/IPP/CBO approval and obtains authorizations; acts as liaison between patient, medical assistant, physician, IPP, CMS Department and Central Business Office.

Essential Functions:
- Obtains authorization for procedures on both non-HMO as well as HMO/managed care patients. Under the direction of the CMS department is responsible for gathering additional clinical information needed to support medical necessity of requested HMO/managed care service.
- Advises the patient of receipt/denial of authorization requests. Arranges pre-authorized patient consults to discuss charges and deposits; arranges for surgeries, diagnostic services and/or OB care.
- Prepares clinical data for attachment for Chief of Staff, CMS Dept., or CBO approval. Forwards clinical data to the specialists/consultants as required.
- Maintains internal log of referral status per protocols of the medical office, as well as documentation in the IDX system as outlined by the CMS Department.
- Participates in documentation and forms preparation as needed for California’s Child Health and Disability Prevention Program (CHDP).
- Completes a variety of documentation and correspondence, including disability forms, workers’ compensation forms and jury duty letters. Sets up cases for all approved Third Party Liability.
- Performs backup for front office, medical records and schedulers as needed.

- Operates all general business equipment and assists office with all clerical needs.
- Knowledge of grammar, spelling, coding and medical terminology.
- Proper telephone etiquette.
- Ability to read, understand, and follow oral and written instruction.
- General knowledge of healthcare insurance benefit and terminology.
- Ability to sort and file by alphabet or terminal digit.

Minimum Position Requirements:
- Experience: 1 year experience with medical terminology, coding and medical charting.

Preferred Position Qualifications:
Licenses/Certifications: MA certification

Providence Medical Foundation (formerly St. Joseph Heritage Health) includes seven medical groups throughout Northern California, Orange County, High Desert and Los Angeles County. With 175 locations and nearly 4,000 caregivers (employees), Providence Medical Foundation has been continually recognized as a leader in quality, receiving top honors from various organizations, including the Orange County Medical Association for Physicians of Excellence and the Integrated Healthcare Association with distinction in clinical quality. Providence Medical Foundation provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Providence Medical Foundation complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Company: Providence Medical Foundation
Category: Patient Services
Req ID: R350683

Contact Person:
Location: Eureka, CA
Application Method: Online:
Base Pay: DOQ

Posted on January 04, 2022

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