Job Description

Located in Kailua, Adventist Health Castle has been one of the area's leading healthcare providers since 1963. We are comprised of a 160-bed hospital, eight medical offices, home care services, urgent cares and a vast scope of services located throughout O'ahu. In 2017, Adventist Health Castle was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence. O'ahu is known for its ideal climate, diverse culture and picturesque landscape. The allure of Castle's laid-back lifestyle is complimented by its close-knit and proud community.

Job Summary

Coordinates incoming office referrals and verifies insurance coverage. Handles incoming calls from patients, family, physicians, and disciplines. Ensures that all personnel are informed of patient's hospitalization and follow-up with patients admitted to other hospitals. Establishes and maintains positive relationships with customers and referral sources, responds to customer requests and concerns, and manages the insurance verification and authorization process. Responsible for routine clerical matters and assures that documents flow in a coordinated and efficient manner.

Job Requirements:

Education and Work Experience:

• High School Education/GED or equivalent: Required
• Experience in a health care setting: Preferred

Essential Functions

• Handles and coordinates incoming calls related to patients, physicians, referrals and agency services regarding physician orders, patient questions, and patient referrals. Verifies primary insurance coverage.
• Communicates effectively on the telephone with patients, families and staff. Welcomes and assists all guests. Answers telephone inquiries and channels them appropriately.
• Facilitates telephone communications between, and demonstrates effective communication skills, with nursing, therapy, aide, social services, physicians, etc. regarding changes in patient/staff schedule, test results, etc. Maintains confidentiality of patient information. Ensures compliance with all state, federal, and regulatory referral/intake requirements.
• Ensures seamless transition of patients to home care by providing patient education and preparation for home care. Gathers, collates, and reports referral statistics including key customer referral trends.
• Provides follow-up for hospitalized patients, ensuring subsequent agency referral. Works with physicians, nurses and social workers to establish a coordinated plan of care. Creates and maintains patient files. Provides an outstanding admissions experience for our patients
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.