Job description
Would you like to have a career that makes a daily difference in people’s lives? Do you want to be part of a caring, respectful, diverse community? If you answered yes to these questions, keep reading!
HealthPoint is a community-based, community-supported and community-governed network of non-profit health centers dedicated to providing expert, high-quality care to all who need it, regardless of circumstances. Founded in 1971, we believe that the quality of your health care should not depend on how much money you make, what language you speak or what your health is, because everyone deserves great care.
Position Summary:
The referral coordinator position is responsible to ensure patients have access to specialty care services by developing exceptional relationships with HealthPoint providers, patients and community partners to ensure specialty care needs are met. As a referral coordinator you will be responsible for tracking referral statuses, coordinating specialty care for patients and working with all parties to ensure an exceptional patient experience. Compensation is dependent on skills and experience.
Your contribution to the team includes:
- Responsible for verifying eligibility, dates of coverage and benefits for specialty services with a high level of detail to ensure minimal disruptions or delays in care for patients
- Process referrals by coordinating chart notes, recent labs, diagnostics and other required documents to adhere to HealthPoint and Insurance guidelines related to referral requirements
- Communicate, problem solve and prioritize issues with patients, external specialists, HealthPoint providers, HealthPoint Managed Care department and health plans as appropriate.
- Adhere to HealthPoint policy and HIPAA laws to ensure patients information is protected and documented safely
- Act as liaison between Managed Care insurances and HealthPoint providers to coordinate prior authorizations for patient specialty care and diagnostics
- Develop and maintain contacts with specialists and diagnostic facilities and actively maintain master specialist list and accepted insurances
- Manage incoming messages and calls to ensure continuity of care for patients’ access specialty providers
- Tracking of high-risk referrals month to month and maintain consistent communication with external partners to ensure our patients receive care within the appropriate time
- Regular review of monthly reporting to ensure adherence to monthly processing times, and all referral statuses are up to date
- Update referral database with consultative reports received and print out additional reports as needed.
- Communicate approval or denial of referral authorization to patient and referring provider.
- Identify patients that may be eligible for case management services outside HealthPoint.
Must have’s you’ll need to be successful:
- Associate degree (AA) or equivalent from a two-year college or technical school and two years’ medical experience in a medical setting; or equivalent combination of education and experience.
Proof of immunizations and/or immunity to: COVID-19, MMR (measles, mumps, and rubella), Varicella, Annual Influenza, and TB are required for all employees. Additionally, if you work in a HealthPoint clinic, Tdap (within last 10 years) is required. Hepatitis B. is required for clinical employees with potential exposure to blood/blood products. All immunizations are a condition of employment. Upon hire, employees must provide proof of their immunizations and/or immunity prior to starting or no later than their fifth (5) business day of employment.
Where to gather your records:
- If you received immunizations in Washington, Arizona, Louisiana, Maryland or West Virginia, you may visit http://wa.myir.net to create an account and retain proof of your medical records for the immunity/immunization requirements.
- If records do not show any data, please seek guidance from your provider for further assistance.
HealthPoint is committed to offering all employees a competitive compensation package, including benefits and several other perks.
- Medical, Dental, and Vision for employees and their families/dependents
- HSA, FSA plans
- Life Insurance, AD&D and Disability Coverage
- Employee Assistance Program
- Wellness Program
- PTO Plan for full-time benefited and part-time benefited employees. 0-.99 years of service accrual of 5.23 hours per pay period. (pro-rated accruals for part-time benefited employees)
- Extended Illness Time Away of 40 hours (pro-rated for part-time benefited employees)
- 8 holidays and 3 floating holidays
- Compassion Time Away up to 40 hours
- Opportunity Time Off (extended time off for staff to invest in themselves) up to 8 weeks
- Retirement Plan with Employer Match
- Voluntary plans at a discount, such as life insurance and identity theft insurance, and pet insurance.
- Third Party Perks Discounted Movie Tickets, Travel, Hotels, and more
- Development and Growth Opportunities
- Growth Opportunities
To learn more about HealthPoint, go to www.healthpointchc.org! #practiceyourpassion
It is the policy of HealthPoint to afford equal opportunity for employment to all individuals regardless of race, color, religion, sex (including pregnancy), age, national origin, marital status, military status, sexual orientation, because of sensory, physical, or mental disability, genetic information, gender identity or any other factor protected by local, state or federal law, and to prohibit harassment or retaliation based on any of these factors.
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