Referral Coordinator- Regional Medical Clinic

The Referral Coordinator is responsible to the Clinic Manager and will work closely with patients, insurance carriers, and clinic staff to ensure all referrals are handled with accuracy, expedience and proper preauthorization to minimize the risk of fragmented care. They will assist with surgical authorization data entry and scanning of supporting documents. Referral Coordinator will complete weekly report to Clinic Manager of referral volumes, scheduling and cycle completion.

Qualifications:

• Well-groomed and demonstrates appropriate, professional conduct.


• Must have a high school diploma or GED Certificate.


• Excellent customer service skills and telephone etiquette


• Knowledge of the medical insurance field preferred.


• Must function independently, demonstrating efficiency, initiative focus and accuracy in work.


• Excellent organizational skills and strong communication skills both verbally and written.


• Excellent interpersonal skills including friendliness, empathy, patience, politeness, and kindness.


• Experience working with Electronic Health Records Preferred.


• Basic proficiency in computer systems including Microsoft Word, Excel, and Outlook.

Primary Duties and Responsibilities:

• Efficiently works assigned referral queues to process incoming and/or outgoing referrals in a timely manner


• Maintains current knowledge of Medicare, Oregon Health Plan and third-party payer's requirements for Prior Authorizations and Referrals.


• Identifies VA eligible patients and acquires appropriate referrals/authorizations.

Skills and Abilities:

•  Ability to work with sensitive information and maintain a high degree of confidentiality.


•  Strong analytical skills combined with a high level of attention to detail.


•  Demonstrated ability to effectively handle multiple priorities and projects.


•  Excellent interpersonal skills to work with employees and managers at all levels, including coaching others on processes and managing change


•  Ability to Generates creative and innovative solutions to problems when needed.

Physical Demands and Work Environment: 

•  Ability to lift 25 pounds.


•  Able to sit, stand, walk, bend, squat, reach, and stretch frequently


•  Ability to communicate effectively through reading, writing, and speaking in person or on telephone


•  Requires frequent use of computer


•  Must be able to perform the primary duties and responsibilities of the job with or without reasonable accommodation.

Compensation:

$20.82-$28.70 DOE

Benefits 

• Health Insurance


• Vision Insurance


• Dental Insurance


• Flexible Spending Account (FSA and Health Savings Account (HSA) Options


• 401K Plan with Roth Options


• 401K 3% employer match and a 2% base non-elective employer contribution


• Eligibility for company-paid benefits such as life insurance and long-term disability, subject to applicable waiting periods


• Option to elect Supplemental employee, spouse, and child life insurance


• Paid Time Off (PTO)


• Access to the Employee Assistance Program


• Discounts: available for meals in the cafeteria and over-the-counter pharmacy items


• Exercise/Fitness Facility: access to the Rehab Therapy Fitness Center for the employee and dependents

Expectations for All Employees:

Support the organization’s mission, vision and values by adhering to the behavioral standards of Grande Ronde Hospital. Comply with all laws and regulations affecting Grande Ronde Hospital.  Be familiar with and adhere to the Personnel Policy Manual and the Code of Conduct and support
the Grande Ronde Hospital Compliance Program.  Effective communication skills and the ability work effectively with people from various backgrounds are critical.

Mission: Grande Ronde Hospital and Clinics will ensure access to high quality, cost-effective health care in a safe and customer-friendly environment for all those in need of our services.
Vision: Quality health care is our mission. Patients are our passion.
Values: Creativity, Compassion, Collaboration, Credibility