New Patient Referral Coordinator

Title: New Patient Referral Coordinator

Location: Clark , Nevada, United States

Department: Clinical

Full-Time

Remote

Job Description:

Why work for us?

• Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care.
• Through our joint venture with Evergreen Nephrology we are a growing organization with opportunities for professional and personal growth.
• We will help you grow in your leadership experiences while learning the new value-based care world.
• Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days after hire.
• Employer contribution of up to 10% of annual pay for your 401K.
• Generous paid time off plus 8 paid holidays, a birthday float day off and a mental health day!
• Company paid life insurance.
• Join a fast-growing field - employment of medical and health services managers is projected to grow 32 percent from 2020 to 2030, much faster than the average for all occupations.
• Voted 4 years in a row as a Top Workplace of San Diego 2020-2024!

Our Values: Patient-centered I Accountability I Respect I Innovation I Data-Driven

Our Mission: to consistently deliver superior care – Balboa Care – to every patient with kidney disease.

Work Location: Remote in Clark County, Nevada 
Short Description/Overview: This position is responsible for maintaining relationships with incoming referral sources, ensuring that all new patients are seen timely and provided with the information for the initial consultation. 

Essential Job Duties & Responsibilities:

Processing New Patient Referrals

• Receive new patient referral from location folder (Located in Centralized New Patient Referrals in faxes folder) or in other platforms like Microsoft Teams or Sharepoint
• Verify if patient has been seen within the last 3 years, if the patient has been seen within the last three years then the patient is NOT a New Patient.
• Create patients' chart, adding demos and insurance information, PCP and Referring MD.
• Ensures authorization is received if needed.
• Enter new patient referral using "referral entry"
• Apply Template for incoming referrals
• Upload all documents individually into Media Manager for staff/provider convenience. 
• Requests any additional information needed from referring provider if not in the patient’s chart, such as progress notes, labs, radiology, etc.
• Work with clinic staff, Clinic Manager, and MD as needed to appropriately schedule the patient

Scheduling Appointments

• Call the patient to schedule the appointment
• Once appointment is scheduled, provide the patient an overview of what to expect on their first visit and send their appointment reminder via Doximity
• Ensure patient is setup with MyChart
• Walk the patient through the Telehealth Process for virtual visits
• Monitor “no shows” for appointments and work to reschedule
• Expect to take 15 - 20 calls per workday

Required Qualifications:

• High School Diploma or equivalent  
• Medical Assistant Certification; 3 years’ experience may be substituted for certification 
• 3+ years of both front and back office medical assistant clinical experience
• Experience verifying eligibility and requesting/obtaining authorizations, preferably in a high-volume environment is highly preferred.  
• Ability to distinguish between primary and secondary payers and identify insurance products  
• Advanced understanding of and experience dealing with various types of insurance, e.g., HMOs, PPOs, IPAs, POSs, EPOs, Medicare, Medi-Cal   
• Thorough understanding of the referral and authorization process  
• Strong computer skills including EMR experience   
• Must be located in Clark County, Nevada. 
• Experience using EPIC  
• Bilingual in Spanish

Pay Range: $21.00/hour and up, depending on experience

 Other considerations:

• Background check required
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Supervisory duties – No

Language Skills

While performing duties, the employee is regularly required to talk, hear, read, write, type and respond in English and understand clinical/medical vocabulary written and spoken.

Vision Requirements

Vision requirements include close vision, ability to adjust focus, and see color.

Physical Demands

Physical requirements may vary slightly and should be reviewed with your manager. In general, this position requires the ability to lift up to 35 pounds unassisted; ability to stand for extended periods of time and to perform repetitive stooping, walking, stretching, reaching and some sitting; ability to use full range of body motions required to lift patients, wear a lead apron, and lift and move supplies. Must be able to safely ascend and descend stairs as a core part of the job, with or without reasonable accommodation, when no elevator or lift is present.

Work Environment

Job required tasks routinely involve a potential for mucous membrane or skin contact with blood, body fluids, tissues or potential spills or splashes. Use of appropriate personal protection measures is required for every healthcare provider in these positions. Require to routinely use standard office equipment such as laptop, computer, mouse, and photocopier.

About Balboa United

Beginning in 1973, Balboa has grown from two physicians to a comprehensive nephrology team of 52 board certified physicians and 8 advanced practitioners. On January 1, 2018, Balboa Nephrology Medical Group (BNMG) launched Balboa United, a full-service medical practice management services organization. From one small office, BNMG now has 24 clinical offices throughout San Diego, Imperial, Orange and Riverside counties. In addition to office and hospital-based patient care, Balboa physicians manage the dialysis treatments of approximately 4,500 patients at 88 dialysis centers and conduct Nephrology based clinical research at 6 centers throughout Imperial and San Diego counties (California Institute of Renal Research).

• EEO Statement Balboa United is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available person in every job. Our Company policy prohibits unlawful discrimination based on race, color, creed, religion (including religious dress & grooming), sex (including pregnancy, childbirth or related medical conditions), gender (including gender identity and gender expression), marital status, registered domestic partner status, military status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, sexual orientation, or any other basis protected by applicable federal, state, or local law. We also prohibit unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics. The Company is committed to compliance with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee of Balboa United, including managers and co-workers. If you believe you have been subjected to any form of unlawful discrimination, submit a written complaint to your manager or Human Resources (HR). Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your complaint, or if you prefer to make a complaint in person, contact the Company's Human Resources Department. We will immediately undertake an effective, thorough, and objective investigation and attempt to resolve the situation.