<p>Description:</p> <p>POSITION DESCRIPTION</p> <p>POSITION: Administrative Referral Coordinator</p> <p>DEPARTMENT: Clinical Health Services</p> <p>REPORTS TO: Director of Clinical Health Services</p> <p>TYPE: Full Time</p> <p>SALARY: $20.00 - $23.00</p> <p>Summary:</p> <p>Under the direct supervision of the Clinical Health Director the Administrative Referral Coordinator will manage the health center's referral and authorization process for all health center patients.</p> <p>RESPONSIBILITIES</p> <p>Direct Patient Services</p> <ul> <li>Ensure accurate and complete referral/admission and patient tracking information by initiating and following up on all internal and external referrals on behalf of the Health Centers patients. </li><li>Serve as an Ombudsman for the Health Centers patients and MCO's or HMO's regarding access to non-primary care services and coordinating the appeals process for denied services. </li></ul> <p>Administrative Duties</p> <ul> <li>Keep detailed, accurate and complete records of referral activities to ensure appropriate visit frequencies as required for each payer per discipline. </li><li>Review utilization and referral reports from all payors, identifying trends and patterns to management and coordinating the distribution of such reports to identified stakeholders. </li><li>Maintain and make available to MCHC providers documented referral protocols, policies and procedures for all contracted MCO's and HMO's. </li><li>Participate in the Health Centers outreach and education activities geared towards attracting new members and retaining current membership. </li></ul> <p>Performs other related responsibilities as assigned</p> <p>Requirements:</p> <ul> <li>High School graduate. </li><li>Insurance verification and/or healthcare administrative background. </li><li>Demonstrated knowledge of health care principles and philosophies. </li><li>Excellent communications and organizational skills are a must. </li><li>Strong interpersonal skills and professional attitude. </li><li>Word processing and database skills are preferred. </li></ul> <p>Pay: $20.00 - $23.00 per hour</p> <p>Work Location: In person</p>