Job Description

:

Community members in Tehachapi dreamed of a state-of-the-art hospital for decades. That dream became a reality when they partnered with Adventist Health to open a new 25-bed critical access hospital in 2019. Since opening, we have ushered in needed services, including surgery, emergency care and an intensive care unit. Meanwhile, our ability to attract new doctors, surgeons and care providers to the area has transformed and elevated the health experience in these rural mountain communities. But healthcare isn\'t just about access to care - it\'s about the way we care for you. At Adventist Health Tehachapi Valley, we don\'t want to treat you like just another patient. Instead, it\'s our commitment to care for you like family. To us, that\'s who you are.

Job Summary:

Coordinates and completes referrals within the Hospital-based Outpatient Clinics (HBOC) including acquiring and verifying third party information, obtaining and arranging appointments and tracking. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work.

Job Requirements:

Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate\'s/Technical Degree or equivalent combination of education/related experience: Preferred

Licenses/Certifications:

• Certified Nurse\'s Assistant (CNA), Medical Assistant (MA), or medical terminology course: Preferred

Essential Functions:

• Communicates with ordering providers and nursing regarding insurance authorizations, denials, peer-to-peer review requests and scheduling difficulties with referrals to providers.
• Takes telephone requests for authorizations. Prepares referral requests. Informs patients of appointment information and instructions.
• Maintains electronic health record (EHR) referral documentation to reflect actions on specific referrals (including adding incoming referrals that were not generated from the electronic health record (HER)). Maintains referral resource document.
• Schedules referral appointments with appropriate department or referred to provider. Tracks referral patient compliance and communicate with referring provider as necessary regarding patients refusing service and patients not showing up to a referral appointment.
• Submits retroactive authorization requests as needed.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.

About Us: Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God\'s love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.

Adventist Health