Adventist Health Clear Lake is a 25-bed, critical access hospital serving Lake, Butte & Tehama Counties with key service areas including rural health clinics that provide behavioral health, cancer, dental, family medicine, OB/GYN, pediatrics, neurology, orthopedic and pain management to name a few.
Job Summary:
Coordinates and completes referrals within the Hospital-based Outpatient Clinics (HBOC) including acquiring and verifying third party information, obtaining and arranging appointments and tracking.
Works on routine assignments within defined parameters, established guidelines and precedents.
Follows established procedures and receives daily instructions on work.
Job Requirements:
Education and Work Experience:
High School Education/GED or equivalent: Preferred
Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
Licenses/Certifications:
Certified Nurse's Assistant (CNA), Medical Assistant (MA), or medical terminology course: Preferred
Essential Functions:
Communicates with ordering providers and nursing regarding insurance authorizations, denials, peer-to-peer review requests and scheduling difficulties with referrals to providers.
Takes telephone requests for authorizations.
Prepares referral requests.
Informs patients of appointment information and instructions.
Maintains electronic health record (EHR) referral documentation to reflect actions on specific referrals (including adding incoming referrals that were not generated from the electronic health record (HER)).
Maintains referral resource document.
Schedules referral appointments with appropriate department or referred to provider.
Tracks referral patient compliance and communicate with referring provider as necessary regarding patients refusing service and patients not showing up to a referral appointment.
Submits retroactive authorization requests as needed.
Performs other job-related duties as assigned.
Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients.
Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc.
, as a condition of employment, and annually thereafter.
Medical and religious exemptions may apply.
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