Job Details

Referrals Coordinator (Specialty Care Coordinator)

Outside In, Portland, OR

Job - Non-Profit

Close Date: 09/26/2019

Are you an experienced Referrals Coordinator who wants to feel connected to the mission and vision of your organization? At Outside In, we are guided by a belief in each individual’s potential for change and growth. Since 1968, we have been successfully empowering homeless youth and other marginalized communities to become healthy and self-sufficient. With a collaborative approach to community partnerships, we value hope, integrity and compassion. We believe our people are our greatest asset and we value their competence. At Outside In, your time and talent truly make a difference.

Outside In values diversity in thought, background and experience. People of color, people with disabilities, women or non-binary candidates, and LGBTQ candidates are strongly encouraged to apply.

The Referrals Coordinator (Specialty Care Coordinator) assists Care Teams in a multi-disciplinary clinic serving patients by coordinating all external (and internal specialty) medical visits for client panels.

ROLE AND RESPONSIBILITIES
Works as part of a cohesive and innovative medical referrals team to provide support for medical Care Teams and connects under-served patients with needed medical referrals - both internal/external for all clinic and outreach clients, including:
Verifies the client’s insurance, Project Access, or other financial assistance programs
Locates appropriate specialty clinic offices that will accept the client
Sends all required chart information and other paperwork required to specialty clinic
Completes all prior authorizations as required by insurance
Schedules specialty appointments as needed
Schedules interpretation for the appointment as needed
Communicates the appointment and scheduling details to clients, including what to bring, special instructions, and expectations.
Follows up with external office records, as needed
Follows up with the Panel Manager regarding details of the appointments and follow-up (i.e. barriers, transportation, medical housing, appointment reminders, etc), as needed
Advocates for patient with external organizations and clinics as they navigate the referral process
Develops expertise in navigating insurance systems and will work with the front desk to identify and understand how insurance impacts the referral process
Builds and maintains relationships with community social service partners
Attends staff meetings and clinic trainings; assist in training staff and/or volunteers in the referrals processes; attend provider meetings and other staff meetings as needed
Identifies opportunities for improvement to clinic processes and workflows; participate in process improvement projects
Sorts, prioritizes, and processes referrals
Navigates the insurance system and completing all necessary prior authorizations
Follows up after completion of referrals to request medical records from specialty clinics
Coordinates and manages in house specialty clinics and coordination with outside partnerships such as the Casey Eye Institute, Medical Teams International, Pacific University
Identifies and addresses difficulties and barriers within referral process

Technical Skills Requirements:
EMR Systems, CPS or EPIC preferred
Microsoft Office Suite
Windows Server

QUALIFICATIONS AND EDUCATION REQUIREMENTS
1 year experience in a clinical setting, or a Bachelor degree in human services or related.
Must be able to pass Department of Health Services criminal background check
Bilingual fluency (English/Spanish) is required.
Medical training or experience preferred
Excellent communication and organizational skills
Able to handle multiple tasks, escalated clients and crisis situations
Willingness and ability to learn quickly and adapt to a variety of situations
Able to work with and advocate for people from diverse ethnic, cultural, gender, socioeconomic and sexual preference backgrounds
Able to work as a member of a team as well as independently
Strong reception and administrative skills with high accuracy and attention to detail

If this sounds like a good fit for your skills, experience and career goals, please apply here: https://outsidein.bamboohr.com/jobs/view.php?id=125

Complete details: https://outsidein.bamboohr.com/jobs/view.php?id=125