About Job

The Patient Care Referral Coordinator is responsible for managing and coordinating incoming patient referrals to PDI for surgical scheduling. Additionally coordinating patients with specialists /other healthcare providers as needed. The Referral Coordinator performs a wide range of administrative duties to include referral processing, patient registration, verification of benefits, coordinating insurance authorizations, patient appointment scheduling, and communication with referral sources.

ESSENTIAL FUNCTIONS

Timely processing of incoming patient referrals. Ability to process 200 referrals per month.
Maintain and build positive relationships with referral partners and patient custodians.
Responsible for tracking, coordination and communication of patient referrals.
Ensures initial accurate patient registration, including demographics and current insurance information. Communicating with billing about pre-auth/eligibility needs.
Manages third party referral requests, coordinates collection of relevant medical and insurance information.
Point person for specialty medical reports for nurse and provider evaluation of medical records for qualifying patient as safe to treat in the ASC.
Collaborates in filling surgery schedule with 12-13 qualified patients per surgery day.
Assembles information concerning patient’s clinical background and referral needs
Confirms with billing and front office team that verification of benefits and prior authorization approval requirements are being requested and met.
Reviews details and expectation of referral with the potential patient.
Assists patients in problem solving potential issues related financial or social barriers (e.g., request interpreters as appropriate, transportation services, etc.).
Communicates patient updates between program and referring source.
Provide translation assistance in clinic for Providers and Nurses.
Assisting at the front desk when needed to ensure full coverage and patient confirmations.

SKILLS, ABILITIES, QUALIFICATIONS

High school diploma or equivalent; a post-secondary degree or relevant certification in healthcare administration may be preferred.
Bilingual fluency (Spanish/English).
Basic understanding of commercial and Medi-Cal related insurance eligibility requirements.
Polished, professional phone / interpersonal skills and email communication capability.
Previous experience in a medical office or healthcare setting.
Knowledge of medical terminology, healthcare procedures, and insurance practices.
Familiarity with electronic health record (EHR) systems and medical software.
Strong organizational and multitasking skills, with good judgement, effective prioritization.
Detail-oriented, with a focus on accuracy and patient care.
Ability to work independently and as part of a healthcare team.
Strong customer service focus.
Resourceful problem-solving skills with good judgement.
Accountability to complete delegated tasks and engage teamwork to complete items on time.
Able to sit at computer and keyboard type for 8-hour daily shifts.
Ability to lift up to 25 pounds
Able to see at typical near and far distances to accomplish clerical tasks.
Knowledge to operate standard office equipment: phones, copier, scan, fax, computer.

Must be Bilingual in Spanish

Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, skills, qualifications, or working conditions associated with the role.

PDI is an Equal Opportunity Employer

Job Type: Full-time

Pay: $22.00 - $25.00 per hour

Expected hours: 40 per week

Benefits: