Referral Coordinator

The Referral Representative works under general supervision and is responsible for the coordination of patient referrals, to include submission, tracking, patient scheduling, and closing the loop on all referrals as well as the coordination of treatment for hospital and/or ancillary services. Entails communicating with Office and UM staff as well as Payors and patients. The Referral Coordinator ensures an efficient referral process which provides a seamless consistent process of referral for the patient across all providers/specialties.

PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation’s top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.

Required Skills

• Critical thinking and problem-solving skills to identify and resolve issues in a timely manner.
• Demonstrated ability to communicate effectively and tactfully.
• Knowledge of customer service principles and practices; attention to detail, actively listens and always follows appropriate channels of communication; excellent organizational and follow-through skills.
• Able to prioritize and balance multiple assignments;ability to interact with staff (at all levels) in a fast-paced environment, sometimes under pressure, remaining flexible, proactive, resourceful and efficient, with a high level of professionalism and confidentiality.
• Uses time efficiently, able to deal with frequent change or unexpected events; must be able to handle multiple tasks with interruption.
• Good memory and pleasant voice.
• Knowledge and ability to perform tasks with Microsoft Office software; knowledge of ICD-9 CM and CPT coding systems.

Required Experience

• Formal training will be indicated by a high school diploma or equivalent.
• At least 1 year of experience in a medical office or hospital setting.
• Previous experience with ICD-9 & CPT coding systems; medical terminology.
• Ability to maintain composure & balance multiple priorities in a fast-paced environment.
• Basic knowledge of frequently ordered diagnostic tests preferred. 
• Spanish/Chinese bilingual preferred.