Responsible for processing medical referrals from start to finish, including verifying eligibility, requesting prior authorizations, communicating with hospitals, scheduling appointments, and documenting in Epic EHR.
Responsibilities
Timely processing of medical referrals for all insurances, including Medi-Cal, Medicare, private insurance, self-pay, etc.
Obtain clinical information relevant to the patient’s referral and submit a complete packet of referral documents to the external provider’s office to avoid delays in patient care.
Track referral status and obtain consultation reports/results to close the referral loop.
Follow-up on the outstanding referrals report and contact patients to determine if patients still need/want the requested service.
Assist patients with contacting external provider offices or agencies to schedule appointments for the referred services.
The Prior Authorization Clerk will ensure the quality of patient registration to the hospital by obtaining thorough and accurate information in a timely and efficient manner.
Responsibilities
Maintains patient demographic information and data collection systems.
Verify insurance eligibility for medical insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly.
Review patient deductibles and/or copays and enter in the Electronic Health Record and spreadsheets provided to the front-end department
Coordinate with schedulers regarding any discrepancies.
Assist front end staff in understanding carrier websites and verification of eligibility.
Requirements
High School Diploma or equivalent
Nice to have: 1 year of customer service experience in hospital setting
Responsible for processing referrals and getting patients on service, including commercial, private and government insurances for patients receiving chronic therapies like IVIg or SCIg.
Responsibilities
Initiates intake process gathers relevant data from referral sources and completes intake paperwork
Verify insurance and eligibility along with obtaining authorizations when necessary
Completes start of care paperwork
Contact patients to confirm information and notify them of their financial obligation
Work collaboratively with other departments to ensure exceptional level of patient care
Conduct mobile testing for Hepatitis C, HIV, and STIs, facilitate linkage to care, and support patients through treatment and follow-up.
Compensation
This position offers a base salary along with performance-based incentives tied to key outcomes, including the development of new and recurring testing partnerships and the number of Hepatitis C consults successfully facilitated.
Responsibilities
Establish and maintain community partnerships
Identify and secure recurring testing sites
Perform rapid testing for Hepatitis C, HIV, and STIs
This position offers a base salary along with performance-based incentives tied to key outcomes, including the development of new and recurring testing partnerships and the number of Hepatitis C consults successfully facilitated.
Responsibilities
Conduct mobile testing for Hepatitis C, HIV, and STIs
Facilitate linkage to care and support patients through treatment
The Patient Care Coordinator is responsible for front desk operations, supporting patient flow, schedule optimization, and seamless coordination across the care team to ensure high-quality patient experiences.
Responsibilities
Greet patients, customers, and vendors in a friendly, professional, and welcoming manner
Answer telephone calls, respond to inquiries, and manage email or digital communications
Schedule patient appointments while supporting provider schedule optimization, including cancellations, reschedules, and same-day fill opportunities
Execute appointment confirmation and reminder processes
Verify insurance eligibility and patient demographics prior to appointments
Patient Access Services (PAS) Registrars are the patient’s first point of contact for seeking service at HHC facilities. This position is accountable for meeting and greeting visitor/patient needs by assessing and communicating points of intervention including providing interpretation for patients experiencing language barriers.
Responsibilities
Exhibits excellent communication and customer service skills at all times
Greets patients and visitors in a professional prompt, courteous and helpful manner as soon as possible whether in person or via phone
Problem solving skills
Demonstrate patience and understanding
Serve as first/initial point of contact for incoming calls related to patient’s privacy and services