Referral Coordinator - Imaging

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    "requisitionDescription": "<div><div><div><div><div><div><div><div><div><div><div><div><p><span style=\"font-size: 24px;\"><strong>Salinas Valley Health Clinics - Care Coordination</strong></span></p><p><br></p><p id=\"isPasted\"><strong>SUMMARY</strong></p><p>The person in the position of the Referral Coordinator must be able to perform the duties described within as well as to meet the company&rsquo;s qualifications. The referral coordinator must have exceptional communication skills to communicate effectively with clinic managers and referring providers. Individuals must be organized, and be able to manage a demanding workload with accuracy.&nbsp;</p><p>&nbsp;</p><p><strong>ESSENTIAL DUTIES AND RESPONSIBILITIES</strong>&nbsp;</p><p>specific to the authorization department include the following:&nbsp;</p><ul><li>Responsible for the completion of all incoming/outgoing referrals as assigned.</li><li>Maintain ongoing tracking and appropriate documentation on the status of referrals. Referrals should be addressed in timely manner, by reviewing and reconciling overdue and/or pending orders in the work queue.</li><li>Referrals should be addressed in timely manner, by reviewing and reconciling overdue and/or pending orders in the work queue. Escalate routine referral delays more than 14 business days.</li><li>Assemble information concerning patient&rsquo;s clinical background and referral needs.</li><li>Knowledge and understanding of ICD-10 and CPT Codes</li><li>Contact insurance companies to ensure all prior authorization needs are met. Present necessary medical information such as history, diagnosis and prognosis.</li><li>Be the system navigator and point of contact for patients with outstanding referrals, assuring patient is aware of referral by reviewing details and expectations.</li><li>Contact external offices to ensure referral is received, to obtain patient appointment date, including all relating information.</li><li>Ensure the patient&rsquo;s chart is up to date with demographics, insurance information, and information on specialist consults; scanning appropriate follow-up documents into system.</li><li>Scans all patient visit documentation into EHR</li><li>Covers various front office positions as needed</li><li>Other duties as assigned</li></ul><p><strong>&nbsp;</strong></p><p><strong>QUALIFICATIONS &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</strong></p><p>For the employee to execute this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</p><p><strong>&nbsp;</strong></p><p><strong>&nbsp;</strong></p><p><strong>EDUCATION and/or EXPERIENCE</strong></p><p>The employee performing this position is expected to hold a High school diploma or general education degree (&ldquo;GED&rdquo;); and at least three months (preferably six months) related experience (e.g., health care setting, customer service, etc.) and/or training; or equivalent combination of education and experience. The employee performing this position is expected to have some experience with medical terminology and understanding of medical insurance process. S/he must be able to understand or quickly learn about the differences between and among patients with private insurance, Medicare, Workers&rsquo; Compensation and self-paying patients, etc.</p><p><strong>&nbsp;</strong></p><p><strong>PREFERRED</strong></p><p>Bilingual may be required during certain shifts.</p><p><strong>&nbsp;</strong></p><p><strong>SUPERVISORY RESPONSIBILITIES &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</strong></p><p>This job has <u>no</u> supervisory responsibilities.</p><p><br></p><!--StartFragment--><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; line-height: 1.25; margin-top: 0px; margin-bottom: 1rem; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);' data-pasted=\"true\"><strong style=\"box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; font-weight: 700;\">CONDITION OF EMPLOYMENT:</strong></p><p style=\"box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; line-height: 1.25; margin: 0in; color: rgb(38, 35, 33); font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; font-family: Calibri; font-size: 14pt;\"><span style=\"box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; background-image: initial; background-position: initial; background-size: initial; background-repeat: initial; background-attachment: initial; background-origin: initial; background-clip: initial;\">Proof of identity and legal authority to work in the U.S. is a condition of employment. &nbsp;Cypress Healthcare Partners/Salinas Valley Health Clinics will not sponsor applicants for work visas.</span></p><p style=\"box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; line-height: 1.25; margin: 0in; color: rgb(38, 35, 33); font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: rgb(255, 255, 255); text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; font-family: Calibri; font-size: 10.5pt;\"><br style=\"box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000;\"></p><p style='box-sizing: border-box; outline: none; --tw-shadow: 0 0 #0000; --tw-ring-inset: ; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(59,130,246,.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; line-height: 1.25; margin-top: 0px; margin-bottom: 1rem; color: rgb(38, 35, 33); font-family: Circular, -apple-system, BlinkMacSystemFont, \"Segoe UI\", Roboto, Oxygen, Ubuntu, Cantarell, \"Fira Sans\", \"Droid Sans\", \"Helvetica Neue\", sans-serif; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; background-color: rgb(255, 255, 255);'>The range displayed on this job posting reflects the target for new hire salaries for this position.</p><p><strong><span style=\"font-size: 16px;\">&nbsp;</span></strong></p><p><br></p></div></div></div></div></div></div></div></div></div></div></div></div>\n",
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