Referral Coordinator

Position: Referral Coordinator #710352

Department:Health Services

Program: Nursing

Reports to: Supervisor - Specialty Care Services

Salary:$22.33 to $29.46 hourly

Status: 100% Full-Time Non-Exempt Union

Probation: 90 Days

Benefits:

Medical Dental Vision Life and Long-Term Disability Insurance

Employee Assistance Program and 403(b) Retirement Plan

Centers Mission:

Building a world where LGBT people thrive as healthy equal and complete members of society.

DEPARTMENT SUMMARY:As the nations largest and most experienced provider of LGBT medical and mental health services we help

LGBTQ people lead healthier happier lives by keeping their minds and body well. All services are free or low cost. Were also one of the

few Federally Qualified Health Centers in the nation with providers who specialize in primary care for LGBTQ people and with a research

team working to advance the care and treatment of people in our community.

JOB SUMMARY:The Specialty Referral Coordinator facilitates referrals by collaborating with healthcare providers and the care team.

This position organizes patient information obtains authorizations notifies patients scheduling maintaining documentation retrieving

and indexing consult notes and ensuring timely access to care. Strong communication attention to detail and verifying insurance

coverage are essential for maintaining continuity of care.

ESSENTIAL FUNCTIONS:

Care Coordination

Serve as part of a multidisciplinary care team to provide and facilitate referrals for specialty care and consultants and update the

healthcare team regularly on referral statuses insurance issues and any barriers to patient care.

Process all specialty referrals from primary care providers or other healthcare professionals in a timely manner.

Monitor the status of all specialty referrals ensuring that patients attend appointments and that outcomes are documented in

the patients electronic health record.

Communicate with specialty offices to schedule appointments facilitate required documentation and follow up on any pending

or incomplete referrals.

Verify patient insurance coverage for specialty services obtain prior authorizations and ensure that referrals comply with

insurance requirements.

Collaborate with the eligibility and benefits screening team to trouble shoot eligibility issues and resolve barriers.

Work closely with primary care providers specialty care teams and case managers to facilitate seamless care coordination and

improve patient outcomes.

Maintain accurate and up-to-date records of all referrals in the electronic health record (EHR) system documenting all

communications and actions related to the referral process.

Patient Communication & Advocacy

Contact patients to inform them of referral details schedule appointments with specialists and provide any necessary

instructions or preparation for visits.

Ensure that barriers to accessing specialty care are identified and addressed including transportation language needs and

insurance issues.

Ensure completion of referral process by obtaining consultant notes and authorizations for additional procedures being

recommended.

Provide education and counseling on the referral program process.

Other Responsibilities

Exercise appropriate judgment and decision-making.

Participate in quality improvement initiatives related to referral management providing feedback and suggestions to streamline

processes and enhance patient care.

Assist with data auditing tasks.

Participate in staff meetings agency meetings planning meetings and other meetings as needed.

Comply with requirements of OSHA HIPAA and other applicable regulations.

Other duties as assigned.

JOB QUALIFICATIONS AND EXPERIENCE:

Medical Assistant certification from approved training program and/or specialty care referral and utilization managed care

experience

Minimum 3 years experience in an outpatient healthcare setting. HIV/AIDS care experience is a plus with basic knowledge of

infectious diseases.

Knowledge of ICD-9/10 codes and CPT coding.

Strong communication organizational and interpersonal skills with a high level of attention to detail.

Proficient in Microsoft Office EHR and other healthcare software.

Self-motivated with the ability to handle multiple tasks and maintain patient confidentiality.

Able to work independently with minimal supervision.

Bilingual (English/Spanish) is a plus.

Experience working with or knowledge of the LGBTQ community and related issues.

Passion for the Centers mission and a commitment to diversity and inclusion.

Demonstrated ability to work effectively with people of diverse races ethnicities nationalities sexual orientations gender

identities gender expression socio-economic backgrounds religions ages English-speaking abilities immigration status and

physical abilities in a multicultural environment.

The Los Angeles LGBT Center is an Equal Opportunity Employer and is committed to fostering diversity within its staff. Applications are encouraged

from all persons regardless of their race color ancestry religious creed national origin sex sexual orientation gender identity gender expression

medical/physical/mental condition pregnancy/childbirth and related medical condition age marital status or veteran status.

The Center has implemented a mandatory COVID-19 vaccination policy as a condition of employment for all employees who work on the Centers

premises subject to applicable federal state and local laws. For more information please contact