MemorialCare Medical Foundation Job - 31688709 | CareerArc
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Company: MemorialCare Medical Foundation
Location: Irvine, CA
Career Level: Entry Level
Industries: Hospitals, Health Care

Description


Specific job responsibilities: It is the duty of all employees to understand and perform their job tasks to the highest level at all times.


  • Research and process incoming referral requests received via fax or system generated
  • Check HP eligibility and benefits as needed
  • Gather clinical notes and HP criteria as needed
  • Scan and attach faxed clinical information
  • Demonstrate good problem solving skills
  • Provide a high standard of customer service for Patients, Physicians and Staff
  • Demonstrates professional and courteous communication skills. Supports a collaborative and cooperative environment when working with others in order to facilitate mutual respect and effective interpersonal relations.
  • Meet all department standards
  • Responsible for running daily reports to capture all work stream referrals including; urgent/emergent referrals, ASA referrals, portal referrals and indemnity/PPO submissions.
  • Assist providers, patients, other departments regarding issues related to referrals
  • Responsible for the coordination of PCC meetings, by preparing agenda, roster, distribution of reports, food orders, scheduling guests, scheduling and meeting room preparation
  • Ability to be at work and be on time
  • Ability to follow company policies, procedures and directives
  • Ability to interact in a positive and constructive manner
  • Ability to prioritize, multitask with attention to detail and timeliness for task completion.
  • Perform any additional duties that may not be inclusive in job description as requested by Management team that is within the scope of knowledge or ability of the Referral Coordinator.
  • Travel may be required to meet business needs.




Qualifications


Experience:

  • Experience in Managed Care or Medical Field 1-2 years preferred. Should have the ability to read and interpret health plan benefit manuals and CPT/ICD coding
  • Type with speed and accuracy, 40 - 50 wpm.
  • Must have excellent computer skills .
  • Excellent customer service skills and be a team player.
  • Must be dependable.
  • High degree of organizational skills.

Education/Requirements:

  • Must be a High School Graduate/ or G.E.D or equivalent.
  • Medical terminology.
  • Must have reliable transportation and a valid California driver's license and car insurance.



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