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Referral Coordinator

Location: Los Gatos, California

Date Posted: 22 Jun, 2022

About Us:
Our client is a growing provider organization with community-based ambulatory care clinics and medical practices in Santa Clara County. They seek to coordinate care that best fit the needs of the communities we serve, with like-minded people who want to simplify the healthcare experience. With a commitment to teamwork and quality, together we can offer exceptional care to our patients

Job Summary:
The Referral Coordinator is responsible for supporting all elements of referral and authorization that includes:
Validating patient's health plan eligibility
Obtaining authorization for all services and procedures in office and external facilities
Contacting patients and scheduling into the Epic system
Contacting clinical staff to coordinate peer to peer calls between Physicians and the health plan as need
Work as an educator, healthcare resource, and patient advocate to ensure patient care is coordinated and managed appropriately
Refer patients to external physicians/specialist, serve as a liaison to the physician and coordinate care across the healthcare continuum

A minimum of 5 years of experience in healthcare (acute care or ambulatory care organization), preferably experience in referral coordination or utilization management
Knowledge and experience with Electronic Medical Record (EMR). Experience with AllScripts or Epic is highly preferred
Able to effectively communicate with patients to ensure follow-through with referrals via phone communications