Referral Associate (Outpatient), Referral Center (Full-Time Temporary, Day Shift)
About Us
Adventist Health Reedley, located between California's coastal mountain ranges and the Sierra Nevada Mountains, has served the Central Valley since 2011. We operate a 49-bed acute care hospital and 60 clinics across 27 rural communities, providing primary and specialty care services. Reedley offers outdoor enthusiasts proximity to Yosemite, Sequoia, and Kings Canyon National Parks, along with an affordable cost of living and close-knit communities.
Adventist Health is a faith-based, nonprofit, integrated health system serving over 100 communities on the West Coast and Hawaii with more than 440 sites of care, including 27 acute care facilities. Our mission is to inspire health, wholeness, and hope through compassionate care delivered by a team of 38,000 employees, physicians, and volunteers.
About the Role
This position coordinates and completes referrals within the Hospital-based Outpatient Clinics (HBOC), including acquiring and verifying third-party information, arranging appointments, and tracking referrals. The role supports clinic operations by managing appointment coordination, medication refill requests, and verification inquiries in a non-patient-facing environment.
Responsibilities
- Communicate with ordering providers and nursing staff regarding insurance authorizations, denials, peer-to-peer review requests, and scheduling difficulties.
- Handle telephone requests for authorizations and prepare referral requests.
- Inform patients of appointment details and instructions.
- Maintain electronic health record (EHR) referral documentation, including adding incoming referrals not generated from the EHR.
- Update and maintain the referral resource document.
- Schedule referral appointments with appropriate departments or providers.
- Track patient compliance with referrals and communicate with referring providers about patients who refuse service or miss appointments.
- Submit retroactive authorization requests as needed.
- Perform other job-related duties as assigned.
Requirements
- High School Diploma/GED or equivalent (preferred).
- Associate’s/Technical Degree or equivalent combination of education and related experience (preferred).
- Certified Nurse's Assistant (CNA), Medical Assistant (MA), or completion of a medical terminology course (preferred).
Pay
The estimated base pay for this position is $25.00 to $29.56 per hour. Additional compensation may include differentials, shift incentives, or bonuses. Base pay is part of a comprehensive rewards package, and benefits information is available for qualifying positions.
Schedule
This is a full-time temporary position with an 8-hour shift length.
Adventist Health requires all associates to receive required vaccinations as a condition of employment, with medical and religious exemptions available where applicable. Adventist Health participates in E-Verify.