Authorization/Referral Coordinator - Tri City Healthcare District

Tri-City Medical Center has served San Diego County’s coastal communities of Carlsbad, Oceanside and Vista, as well as the surrounding region for more than 60 years and is one of the largest employers in North San Diego County. Tri-City is administered by the Tri-City Healthcare District, a California Hospital District. As a full-service acute care public hospital with over 500 physicians practicing in over 60 specialties, Tri-City is vital to the well-being of our community and serves as a healthcare safety net for many of our citizens. The hospital has received a Gold Seal of Approval® from the Joint Commission showcasing a commitment to safe and effective patient care for the residents of the community. 

Tri-City Medical Center prides itself on being the home to leading orthopedic, spine and cardiovascular health services while also specializing in world-class robotic surgery, cancer and emergency care. Tri-City’s Emergency Department is there for your loved ones in their time of need and is highly regarded for our heart attack and stroke treatment programs. When minutes matter Tri-City is your source for quality compassionate care close to home. Tri-City partners with over 90 local non-profit and community organizations as part of our COASTAL Commitment initiative. Together we are helping tackle some of our communities’ pressing health and social needs.

Position Summary:

Responsible for daily operations as it relates to referral process, obtaining authorizations and coordinating all services with the physicians and clinical staff.  Maintains patient schedules, prepares medical records and ensures appropriate paperwork is prepared before each visit.

Major Position Responsibilities:

The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.

• Maintains a safe, clean working environment, including unit based safety and infection control requirements.
• Responsible for obtaining authorizations as required by the individual insurance company. Accurately enter notes regarding letters or correspondence from insurance companies regarding insurance authorization or other notifications.
• Communicates and collaborates with clinic staff and specialists for clinic visits.
• Maintains schedules of patients, prepares medical records, and ensures the appropriate paperwork is prepared before each visit.
• Coordinates all services with the physicians and clinical staff
• Coordinates the transportation of patients with the institutions.
• Responsible for referral process.
• May assist with the charge posting of clinic visits as needed.
• May assist with maintaining office and clinical supplies.
• Performs other duties as required by Manager or Director.

Qualifications:

• Minimum 3 years related experience in a clinic, hospital or other healthcare environment (insurance authorizations and referral process), required.
• Proficient skills in Word, Excel, PowerPoint, Outlook, required.
• Excellent customer and communication skills, ability to work independently, required.
• Knowledge of medical terminology, required.
• Experience with and ability to multi-task with scheduling of patients, physicians for clinic visits, required.
• Must understand policies and procedures for treatment of patients, required.
• Understanding and compliance with JACHO, required. 

Education: 

• High School diploma or equivalent, required.

Certifications:

• Certificate of completion of a nationally certified Medical Assistant program, preferred.

Each new hire candidate who is offered employment must pass a physical evaluation, urine drug screen and pre-employment background checks before starting work.

*Salary/Hourly Wage range based on experience.

To protect the health of patients and staff, and to comply with the new State of California mandates, all job offers are contingent on the successful engagement in the TCMC COVID-19 vaccination program (fully vaccinated with documented proof or approved exception/deferral.)

TCHD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, sexual orientation, or gender identity/expression), age, marital status, status as a protected veteran, among other things, or status as a qualified individual with a disability.