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American Family Care · 1 month ago

Business Development and Referral Coordinator

Ladera Ranch, CA

Part-time

Onsite

New Grad, Entry Level

$21/hr - $30/hr

American Family Care is a leading provider of urgent care and occupational medicine, dedicated to delivering patient-centric healthcare. The Referral Coordinator will manage referral operations, standardize processes, and foster relationships with clients to enhance business growth.

Health CarePrimary and Urgent Care

Responsibilities

Ensures current referral policies and workflows are standardized, accurate and up to date

Prioritizes and tracks referrals by their urgency and addresses them in a timely manner

Participates in the selection, orientation and training of referral personnel

Ensures complete demographic, insurance information and appropriate/pertaining clinical information is sent to referred specialists

Contacts insurance companies to ensure prior approval requirements are met. Presents necessary medical information such as, history, diagnosis and prognosis to insurance companies if deemed necessary to prove medical necessity of services

Reviews details and expectations about the referral with both ordering providers and patients. Requests new referrals to be ordered when applicable

Develops and implements systems as required by EMR functionality and/or regulatory agencies

Identifies and utilizes community resources; establishes relationships with servicing providers and personnel

Point of contact for patients and specialists for any questions or rising concerns. Assist in problem solving potential issues related to their referral due to language or social barriers. If unable to help, assist in finding the right point of contact to further help

Other functions as directed by the Supervisor

Work with Employers and sell company services for Pre and Post Employment. Including Workers Compensation offered by the company

Occ Med billing understanding and follow up needed

Qualification

Electronic Health RecordsInsurance policies knowledgeCPTICD-10 knowledgeWC / OCCMED experienceCustomer service skillsMS Office proficiencyCritical thinking skillsOrganizational skills