Referral Coordinator
Sacramento, CA - USA
Job Summary
Habitat Health empowers older adults to experiencemore gooddays in their homes and communities. Through the Program of All-Inclusive Care for the Elderly (PACE) we provide comprehensive medical care along with support for daily needs such as meals transportation andinhomeassistance. We deliver coordinated clinical and social care in our centers and directly in participants homes creating a fully integrated experience that brings peace of mind and a true sense of belonging. As we expand our scalable affordable PACE model to meet the growing and complex needs of aging populations ourmissiondrivencare teams continue to help participants live well on their own terms.
Habitat Health is supported by leading healthcare organizations and investors including New Enterprise Associates Kaiser Permanente and Town Hall Ventures. We are entering a period of significant growth and are looking for exceptional teammates to help us scale a better model of care for older adults. To learn more visit .
Role Scope:
The Referral Coordinator positionis responsible foraccurateandtimelydata entry of referral requests into the appropriate are also responsible for follow-up on all specialty referrals and coordination of care for urgent referral coordinator is an integral part of the care team working as a liaison between the patient providersutilizationmanagementand various departments to ensuretimelyaccess to specialty care.
Core Responsibilities & Expectations for the Role
- Contribute to acenterexperience that Participants want to spend time in a team culture that cares and creates joy and an environment where all participants and team members belong.
- Continue to raise the sharefeedback andhelp us implement changesin order toimprove clinical outcomes and experience for participants.
- Exhibit and honor Habitats values.
- Receive review and process referral requests from healthcare providers.
- Coordinate with specialists hospitals and other healthcare providers to schedule patient appointments.
- Ensure all referral information isaccurate complete and compliant with healthcare regulations.
- Serve as a primary point of contact for patients providers and insurance companiesregardingreferral status.
- Provide patients with information on referral processes appointment details and any required pre-appointment preparations.
- Maintain effective communication with healthcare providers to ensuretimelyupdates on referral statuses.
- Verify and update patient records in the electronic health record (EHR) system.
- Ensureall referral documentation including medical records and insurance authorizations is accuratelymaintained.
- Prepare andsubmitreports on referral activities and outcomes.
- Verify insurance coverage and obtain necessary authorizations for referred services.
- Work with insurance companies to resolve any issues related to coverage or authorization.
- Assistpatients with understanding their insurance benefits related to referrals.
- Ensure compliance with all relevant healthcare regulations including HIPAA.
- Maintain patient confidentiality at all timesand ensure that all patient information is handled in a secure and confidential manner.
- Visit outside healthcare offices forrelationship-building purposes as needed.
- Performs related duties as assigned.
Required Qualifications:
- High school diploma or GEDrequired.
- Minimum of 2 years of experience.
- Strong organizational and multitasking abilities.
- Excellent communication and interpersonal skills.
- Proficiencyin using EHR systems and other healthcare-related software.
- Knowledge of medical terminology insurance processes and healthcare regulations.
- Reliableandtimelytransportation to and from primary worklocationand other locationsto fulfill responsibilities will be provided according tocompanymileagepolicy.
Preferred Qualifications:
- Associates or Bachelorsdegree in healthcare administration medical assisting ora relatedfield preferred.
- Medical Assistant certificate.
- Bilingual: Spanish/Mandarin/Cantonese preferred.
- A state issued drivers license personal transportation and auto insurance as required by law.
Location:
- Sacramento CA (Onsite)
Compensation:
The anticipated base salary range for this position is $22.00 - $25.00per hour. The final compensation offered will bedeterminedbased on factors including but not limited to the candidates qualifications skills experience education certifications geographical location and business needs. In addition this position is eligible for a comprehensive benefits package including medical dental and vision insurance;paid parental leaveshort- and long-termdisability coverage; life insurance; flexible spending accounts; a 401(k) savings planthat includes a match; paid time off; and companypaid holidays.
At-Will Employment
Employment with Habitat Health is at-will. This means that either the employee or the employer mayterminatethe employment relationship at any time with or without cause and with or without notice subject to applicable law. Nothing in this job posting or any other company document is intended to create a contract of employment express or implied or to alter the at-will nature of employment.
Any written or oral statements to the contrary are not authorized unless made in writing and signed by an authorized representative of the Company.
Vaccination Policy including COVID-19
To helpmaintaina safe environment for our participants and team members Habitat Healthmaintainsvaccination and infection control policies applicable to certain roles and work locations. For COVID-19 and influenza team members who are working in a participant care setting are required to provide either proof of vaccination or a signed declination form and comply with applicable masking requirements while in a care setting to the extent permitted by law in the applicable jurisdiction.
Habitat Health will consider requests for reasonable accommodation based on an applicants disability medical condition orsincerely heldreligious belief practice or observancein accordance withapplicable law.
As a condition of employment team members are expected to comply with all applicable infection control protocols personal protective equipment (PPE) requirements and vaccination requirements associated with their role and work location and to the extent required by law and as permitted in the applicable jurisdiction.
Our Commitment to Equal Opportunity and Inclusion
Habitat Health is an Equal Opportunity Employer committed tothe principles of equal opportunity and decisions at Habitat Health are based on qualifications merit and business needs. We do not discriminate on the basis of race color religion creed sex gender (including pregnancy childbirth breastfeeding and related medical conditions) gender identity gender expression sexual orientation marital status registered domestic partner status age national origin ancestry citizenship military or veteran status physical or mental disability medical condition genetic information reproductive health decision-making or any other characteristic protected by applicable federal state or local law.
Habitat Health is committed to the full inclusion of all qualified individuals. Consistent with applicable law we provide reasonable accommodations to qualified individuals with disabilities and to individuals with religious beliefs practices or observances that require accommodation.
If you requirea reasonableaccommodation toparticipatein the application or interview process perform the essential functions of a position or receive other employment benefits and privileges please contact us at.
We encourage individuals from all backgrounds to apply even if their experience does not align perfectly with every qualification listed.
E-Verify Participation Notice
Habitat Healthparticipatesin E-Verify and will provide the federal government with information from your Form I-9 to confirm your authorization to work in the United States.
If E-Verify cannot confirm your authorization to work Habitat Health will provide you with written instructions and an opportunity to contact the Department of Homeland Security (DHS) and/or the Social Security Administration (SSA) to resolve the issue before any adverse employment action is taken including termination of employment.
E-Verify is used only after an applicant has accepted an offer of employment and completedthe FormI-9and to the extentpermittedbyapplicable law.
Habitat Healthcomplies withall federal and state employment eligibility verification requirements.
Beware of Scams and Fraud
Habitat Health is committed to protecting job seekers from recruitmentscams. Please ensure that yousubmitapplications only through Habitat Healths official careers website or authorized job boards.
Official communications from Habitat Health recruiters and team members will come from email addresses ending in @. Habitat Health will never ask applicants to pay feespurchaseequipment or provide sensitive financial information as part of the recruiting or hiring process.
If you receive suspicious communications claiming torepresentHabitat Health we encourage you to exercise caution and independently verify the communication before responding.
If you believe you have been the victim of a recruitmentscamor fraudulent job posting please report the incident to the Federal Trade Commission (FTC) through its fraud reporting website at .
Required Experience:
IC