PDS Referral Specialist

Impact Lives, Impact Community

Family Health Centers of San Diego (FHCSD) is passionate about providing exceptional health care to all, especially underserved communities with limited health care options. Founded by a Latina grandmother/community advocate over 50 years ago in Barrio Logan, FHCSD has grown into one of the largest community health systems in the country. With over 90 sites, over 227,000 patients, and over 1.1 million healthcare visits last year, we provide a wide variety of health care and outreach services to a very diverse patient population. We are proud of our mission, our lasting community impact, and the cultural and individual diversity of our staff

Family Health Centers of San Diego is looking for a Referral Specialist to complete assigned referrals for assigned department(s). Makes appointments directly into CMIS for the appropriate FHCSD site or service. Schedules translation services as needed and makes reminder calls as assigned. Provides excellent patient-centered communication and education regarding referral processes.

Job Responsibilities

• Complete all required documentation in assisting with medical referrals, coordinate, process, and document medical referrals and prior authorizations.

• Complete all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards, and ensure required documentation complies with patients' insurance requirements.

• Meet established daily referral modification productivity standards, adhering to referral processes and guidelines, and follow referral guidelines in providing appropriate clinical information.

• Prepare and process all referral and pre-authorization paperwork to include information as needed via EHR, incoming phone/email/fax messages, or from clinical team.

• Time will be dedicated to the increased demand of processing and uploading consult notes and order requests from external specialists.

• Contact various clinics, facilities, and companies to obtain information to accurately complete referral/pre-authorization requests.

• Perform other duties as assigned.

Job Requirements

• At least 1 year of experience in ambulatory care setting or similar setting is strongly preferred.

• High school diploma or GED equivalent required.

• Or equivalent combination of education and experience that provide the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.

• Medical Terminology Course required, or able to complete within 90 days of hire.

• Bilingual English/Spanish is required.

Rewards:

• Job type: Regular Full Time, (40 Hours/week)

• Schedule: Monday-Friday (AM)

• Competitive Salary with Excellent Benefits

• Retirement Plan with Employer Match

• Paid Time Off, Extended Sick Leave and Paid Holidays

• Medical/Dental/Vision/FSA/Life Insurance

• Employee Discounts and Wellness Programs

#IndPDS

The successful candidate will have a demonstrated commitment to community medicine and providing culturally competent care to the medically underserved.

In the spirit of pay transparency, we are excited to share the base range for this position, exclusive of fringe benefits or potential bonuses.

If you are hired at Family Health Centers of San Diego, your final base salary compensation will be determined based on factors such as geographic location, jurisdictional requirements, skills, education, and/or experience. In addition to these factors - we believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please keep in mind that the range mentioned above is what we reasonably expect to pay for the role. Hiring at the maximum of the range would not be typical in order to allow for future and continued salary growth. We also offer a generous compensation and benefits package (more information on our benefits offerings is available here: FHCSD Wellness - Employee Hub (gobenefits.net)