Legacy Community Health is a premium, Federally Qualified Health Center (FQHC) that provides comprehensive care to community members regardless of their ability to pay. Our goal is to treat the entire patient while improving their overall wellness and quality of life, in addition to providing free pregnancy tests, HIV/AIDS screening. At Legacy, we empower patients to lead better lives by promoting healthy behaviors and offering resources such as literacy classes, family planning services, and nutrition and weight management information.

Our roots began in 1981 as the Montrose Clinic, with specialization in HIV education, testing, and treatment. Since then, the agency has expanded to 10 clinics in Houston, one in Baytown, two in Beaumont, and one in Deer Park with extensive services that include: Adult primary care, HIV/AIDS care, pediatrics, OB/GYN and maternity, dental, vision and behavioral health. We also service students within KIPP and YES Prep schools. Legacy is committed to driving healthy change in our communities.

Job Description

The purpose of this role is to review and process all diagnostic, specialty and miscellaneous referral requests from clinical staff to obtain required authorizations and assist patients to overcome financial and social barriers to care. The representative ensure appropriate documentation and timely communication to the patients for appropriate follow-up.

Essential Functions

• Demonstrate understanding of various referral requests in connecting patients to appropriate care based on his/her specific role: 1) Referral Coordinator: diagnostic, specialty, miscellaneous referrals requests; 2) Prevention Coordinator: preventative cancer screening including ultrasounds, colorectal, breast and cervical cancer.
• Reviews & processes all referral requests by clinical staff in a timely manner.
• Acts as liaison between patient, Legacy provider and all other community providers.
• Obtain and review patient’s insurance status to assess eligibility/prior authorization requirement for referrals.
• Schedule appointments, provider reminder calls and send letters as appropriate. Reviews and processes prior authorization requests by clinical staff as appropriate.
• Records all appropriate information via Centricity EHRS.
• Adheres to regulations and standards for Patient Centered Medical Home, HIPAA guidelines, and other grants as appropriate.
• Complete follow-up on obtaining referral results in a timely manner.) Participates in our Performance Improvement Program for coordination of care.
• Performs other duties as assigned.

Education & Training Requirements

• High school diploma or GED
• One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
• Ability to meet Legacy Community Health’s EPIC proficiency requirements.

Work Experience

• One (1) year of experience in medical assistance OR referral coordinator OR insurance verification OR medical prior authorization

Benefits

As part of values that Healthcare is a Right and not a Privilege, we offer a suite of benefits

• Medical / Vision / Dental (Costs of benefits are based on your yearly salary)
  • Medical visit copays are waived when seeing a Legacy provider.
• 9 Holiday + 1 Floating Holiday
• 403b Retirement Plan
• Bright Horizons Back-up Care
  • As a user of Bright Horizons Back-Up Care, you can conveniently schedule care right from your mobile device with the Back-Up Care app– your easy, time-saving solution to managing family care challenges while on the go.
• Paid Time Off (PTO)
  • PTO Exchange benefit

PTO Exchange will provide you with the option to convert a portion of your accrued but unused PTO hours for use toward several different benefits and causes, based on your own priorities.

With PTO Exchange, you can convert a portion of your unused PTO into:

· 403(b) Retirement contributions

· Student loan payments / Tuition for the employee

· Leave Sharing donations to fellow employees

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