Authorization Coordinator/Medical Receptionist

Vista Community Clinic is a private, non-profit, multi-specialty outpatient clinic providing care in a comprehensive, high quality setting. Located in San Diego, Orange and Riverside counties, we work to advance community health and hope by providing access to premier health services. We are looking for dedicated, motivated, enthusiastic team players who want to make a difference in the community. Our competitive compensation and benefits program includes health, dental, vision, company-paid life, flexible spending accounts and a 403(B) plan, for eligible employees. VCC is an equal opportunity employer.

Authorization Coordinator

Responsible for the coordination, processing, obtaining prior authorizations, and requesting reports for a variety of referrals requested by VCC clinicians. Collaborate with others to ensure successful tracking and completion of referrals.

• Complete all associated paperwork
• Organize all necessary information from the patient medical record to accurately complete the referral authorization. Verify insurance information and check eligibility (through phone or insurance portals) as needed for referral purposes.  Submit all appropriate information for referral including cover letters, pertinent progress notes, imaging or labs as related to the referral.
• Provide patients with referral information and instructions on how to contact specialist and schedule appointment.
• Act as liaison with referral providers and agencies
• Document referral information in the Electronic Health Record using NextGen and HealthViewX (HVX)
• Use referral tracking system to move the referral through the process of Not Started-Pending-Follow-up and Closed. Documenting progress in patient chart.
• Verify receipt of consult, diagnostic and other required reports. Be sure document is scanned into patient chart and forwarded to Clinician PAQ.
• Act as liaison with referral clinicians and agencies
• Availability to take phone calls and respond to voicemail and Email in a timely manner. Keep phone and Skype status up-to-date.
• Interact directly with patients, providing excellent care to all. Remain objective and non-judgmental. Regularly assist patients by answering questions and resolving issues that may arise during the referral process. Document all communication.

Medical Receptionist

Greet and respond to limited inquiries from patients and customers in a professional manner. Perform a variety of clerical functions.

• Greet patients in-person and via telephone
• Verify insurance eligibility and copy insurance cards
• Perform financial and eligibility screening for clinic programs
• Print daily schedule and confirm next day’s appointments
• Complete appropriate paperwork as needed for patients: school excuses, Head Start forms, etc.
• Make follow-up appointments for referrals from other sites
• Call, reschedule  and mail letters to all N/S patients
• Responsible for patients checking in through completing encounters, personal records forms, etc. 

Authorization Coordinator

Minimum Qualifications

• High school graduate or equivalent
• Two years’ experience in medical, social service setting or related field

Preferred Qualifications

• Medical assistant certification or equivalent training
• Bilingual English/Spanish
• Familiarity with CPT an ICD codes

Required Skills/Knowledge/Abilities

• Familiar with medical, social service and health insurance terminology 
• Ability to type and enter data with a high degree of accuracy
• Excellent verbal and written skills necessary for communication with patients/clients, clinicians and other staff

Preferred Skills/Knowledge/Abilities

• Experience/familiarity with Practice Management and Electronic Medical Records systems, NextGen preferred
• Familiarity with Medical terminology and procedures and CPT and ICD codes.
  

Medical Receptionist

Minimum Qualifications

• High school graduate or equivalent
• One year customer service experience
• Bilingual English/Spanish
•  CPR Certification (including BLS Child, Infant, Adult with one-time hands-on skills training)  

Required Skills/Knowledge/Abilities

• Experience/familiarity with Practice Management and Electronic Dental Records systems, NextGen preferred
• Ability to interface with all levels of personnel in a professional manner
• Excellent customer service skills and commitment to providing the highest level of customer satisfaction
• Ability to type minimum 35 WPM

Preferred Skills/Knowledge/Abilities

• Experience/familiarity with Practice Management and Electronic Medical Records systems, NextGen preferred
• Experience/familiarity with computers, Microsoft Office products, business e-mail communication systems and internet search capabilities

Pay Range

• $21.00 - $23.00