Pomona Community Health Center dba ParkTree Community Health Center (PCHC) is a non-profit, Federally Qualified Health Center (FQHC) whose mission is to provide preventive and primary care services to the needy in the community.
Job Summary: The Referral Coordinator (RC) is responsible for the processing and coordination of patient referrals and is an avid participant of the patient care team. The RC assists providers and patients when necessary with the referral process for specialty care, diagnostic services, and social series to ensure continuity of care utilizing the various protocols required by health plans, DHS and other contracts. Location will vary.
Essential Duties:
1. Complies with all mandatory trainings.
2. Maintain ongoing tracking and appropriate documentation on referrals.
3. Contact specialty partners and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis.
4. Be the navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns regarding their referrals.
5. Review details and expectations about the referral with patients.
6. Remind patients of their approved specialty appointments via mail or phone.
7. Ensure that patient's primary care chart is up to date with information on specialist consult reports. Specialty consults must be requested within a specific time period, as per clinic policy.
8. Attend Health Plan and contract referral meetings to stay current on processes.
9. Participate in PDSA’s to continuously work on improving patient referral processes.
10. Avid participation in Patient Centered Medical Home processes.
11. Be flexible, organized, and function under stressful situations.
12. Follow and adhere to PCHC’s policies.
13. Other responsibilities as defined by the supervisor.
Job Qualifications and Skills:
1. Must be bilingual in English and Spanish with effective verbal and written communication skills
2. MA certificate preferred or one year in a related position with Medical terminology and basic anatomy
3. Knowledge of Electronic Health Record System preferred; Basic computer skills
4. Must be attentive to detail, cooperative, punctual, dependable, and be receptive to new ideas
5. Takes initiative to affect positive outcomes
6. Strong customer service focus
7. Effective verbal and written communication skills
8. Teamwork oriented
9. Organized and able to manage competing priorities
10. Resourcefulness in problem solving and good judgment
11. Able to take and follow through with delegated tasks and accountability
12. Ability to maintain patient confidentiality and adhere to HIPAA regulations
13. A valid CA driver’s license is required and proof of insurance in order to drive to various clinic locations and meetings as required.
14. Treat all patients and colleagues with dignity and respect.
15. Ability to work with diverse populations
16. Flexibility with schedule and location.
Competencies:
1. Quality/Compliance: Achieving a standard of excellence with our work processes and outcomes
2. Customer focus: Striving for high patient satisfaction, going out of our way to be helpful and pleasant, making it as easy as possible on the patient
3. Communication: Balancing listening and talking, speaking and writing clearly and accurately, keeping others informed
4. Collegiality: Being helpful, respectful, and approachable and team oriented, building strong working relationships and a positive work environment
5. Initiative: Taking ownership of the work, doing what is needed without being asked, following through
6. Efficiency: Planning ahead, managing time well, being on time, being cost conscious, thinking of better ways to do things
7. Coachable: Being receptive to feedback, willing to learn, embracing continuous improvement
Job Types: Full-time, Temporary
Pay: $21.00 - $22.00 per hour
Benefits:
- Dental insurance
- Disability insurance
- Employee assistance program
- Health insurance
- Paid time off
- Vision insurance
Weekly day range:
Language:
Work Location: In person