What are the responsibilities and job description for the Referral Coordinator position at Tri-Cities Community Health?
Description
Location: 515 W Pasco
Schedule: Monday through Friday 8:00 AM - 5:00 PM
Tri-Cities Community Health (TCCH) is looking for a Certified Medical Assistant who has a passion for helping others. As a community health center, located in southeastern Washington, serving Pasco, Kennewick, Richland and the surrounding communities.
TCCH offers a variety of schedules to support a work-life balance. Most of our clinics offer Monday-Friday day shifts, with no weekends or holidays, competitive salaries and benefits. While providing careers in a fast-paced work environment and opportunities for professional development.
We employ a highly diversified group of talented individuals who are dedicated to fulfilling our mission to provide the highest quality patient care with the greatest degree of professionalism and courtesy regardless of a patient’s ability to pay.
Our Mission:
We are dedicated to the communities we serve, bringing together a unified team that delivers the highest-quality health care to every person, every time.
Who are we?
Our community health center began as a modest sized medical clinic in Pasco, Washington in 1981. The clinic was founded by a small group of women in the Pasco community who saw the need to serve low income community members who could not afford to pay for Healthcare.
Tri-Cities Community Health has grown into a comprehensive non-profit Federally Qualified Health Center (FQHC) where we have evolved into a network of community health centers that continue with the foundation TCCH was built on and serve an even more diverse population in the Tri-Cities and surrounding areas.
Our Opportunity:
The Referral Coordinator serves as the primary point of contact for referral coordination working with contracted managed healthcare plans, patients, clinic staff and outside providers & hospitals. He/she serves as liaison between the patient and clinic staff in regards to referrals. Work is primarily completed via telephone and direct contact with patients and staff.
- Exemplify excellent customer relations with patients, visitors, and other employees through courtesy, friendliness, helpfulness, and respect
- Act as an expert in plan benefits, procedures, and policies. Provide explanations to new members, clinic staff, providers, and external specialists.
- Research and enter provider referrals into the computer system in a timely and accurate manner using acquired knowledge and judgment
- Assist patients in completing managed care insurance applications
- Provide managed care patients with general medical coverage information, including Healthy Options, United Healthcare, fee for service, DSHS, and Basic Health Plan information
- Coordinate referrals from outside PCPs to Tri Cities Community Health for non-assigned plan members. Meet annually with external providers to distribute changes in contracted health plans
- Maintain current knowledge on all aspects of managed care programs by attending local, regional, and state health care policy, DSHS, and Community Health Plan of Washington meetings.
- Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
- Promotes effective working relationships and works effectively as part of a department/unit team inter and intra departmentally to facilitate the department's/unit's ability to meet its goals and objectives
- Ability to carry out all other duties as assigned
Requirements
Education:
High school diploma/GED required
Experience:
Five years administrative experience working in a health care setting and two or more years of managed care experience preferred.
License/Certification:
None.
Knowledge/Skills/Abilities:
Bilingual (English/Spanish) language skills required. Excellent written & oral communication skills. Basic understanding of medical and insurance terminology. Proficiency with computers and Microsoft products required. Ability to complete assignments with minimal supervision.
Benefits:
• Paid Time Off - Sick, Vacation, and Holidays
• Medical, Dental, and Vision
• Flexible Health Spending Account and Dependent Care Spending Account
• CME Reimbursement (if applicable)
• Retirement - 403(b) with matching contributions
• Employee Assistance Programs
• Life Insurance
Visit our website for more! https://mytcch.org/careers/
Tri-Cities Community Health is an Equal Opportunity Employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, veteran status or any other protected factor under federal, state or local law
Salary : $17 - $23