Job Description

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

Qualifications:

  • 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

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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