Application Worker (Referral Coordinator)

King County   Bellevue, WA   Full-time     Information Services / Technology (IT)
Posted on June 17, 2022
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Summary

The Eastgate Public Health Center within Public Health Seattle & King County, is seeking candidates to fill our Application Worker-Referral Coordinator position!  

The Referral Coordinator position falls under the Application Worker job classification with specific assigned duties that provide administrative support to our referral work process and flow.  The referral coordinator is responsible for assisting our clients connect with specialty medical care and treatment as prescribed by their primary care provider. This work includes about is not limited to, obtaining insurance authorization and eligibility, assist client with obtain financial assistance from insurance plans and community services, such as project access and charity care. Our Eastgate clinic processes a large volume of referrals, approximately 250 or more referrals per month, with an average of 1-3 calls per referral.
 
The Referral Coordinator must be a self-starter, with excellent time management and organizational skills able to process and manage a large volume of referrals within the established turnaround time. The referral coordinator is responsible for maintaining clients records in the referral database; ensuring prior authorization is received from the client’s insurance company when required; ensuring reports are received from specialists; troubleshooting billing issues; responding to inquiries from the public regarding community resources; informing clinic management and provider of processes or insurance changes that impact referrals.  

 
As the only jurisdiction in the world named after Dr. Martin Luther King, Jr., one of the most influential civil rights leaders in our nation's history, King County is a vibrant international community with residents that represent countries from around the world. It is a region with increasing diversity that cherishes the traditions of many cultures.
 
We have a deep commitment to equity and social justice and advancing practices, strategies, and policies that promote fairness, justice, and opportunity for all – in our workplaces and our communities. With this commitment, King County has adopted a pro-equity agenda to advance regional change and ensure that residents from vulnerable communities are incorporated into our emergency planning and public outreach efforts.
 
Applicants should be committed to working with diverse populations throughout King County to provide excellent customer service to a broad range of cultures, in accordance with the King County Equity and Social Justice Ordinance and the King County Strategic Plan.
 
Who May Apply: 

 This full-time position is open to all qualified applicants.
 
Work Schedule: 

 This position is works Monday, Tuesday, Thursday, and Friday 8:00am - 5:00pm and, Wed 9:00am - 6:00pm
 
The work associated with this position will be performed On-Site

Job Duties

  • Referrals of personal health clients to specialty services will be handled in a complete, accurate and timely manner
  • Referral coordinator will ensure the entry of the referral into the electronic referral system within two working days of the referral date
  • Specialty care referrals and orders for services requiring prior authorization will have well-documented medical necessity and required documentation
  • Referral coordinators will ensure that all required documentation is attached to the referral (chart notes, x-rays, lab results, etc.)
  • Prior to faxing referrals and other documentation, referral coordinator will verify the fax number to ensure confidentiality of transmission
  • All family health clients, regardless of their insurance status, will receive specialty care referrals as appropriate for the documented medical necessity
  • Referrals of managed care clients will comply with the requirements of the member’s health plan
  • The referral coordinator will ensure that an accurate and complete record of the referral and follow-up information is provided in the referral database and documentation of the referral becomes a part of the member’s medical records
  • The referral coordinator will provide timely follow up, contact providers when concerned about patient
  • Active participant of EPIC Management work queue   


Experience, Qualifications, Knowledge, Skills

  • Skilled in using computer including proficiency in a Windows environment, and the ability to use drop down menus, point and click software, multiple screens and the ability to enter data
  • Skilled in attention to detail
  • Ability to use word-processing and spreadsheet software to complete assigned tasks
  • Ability to maintain confidentiality
  • Skilled at providing Excellent Customer
  • Ability to communicate in a pleasant, non-judgmental, respectful, culturally sensitive manner under varying levels of stress (this may include high levels of noise, limited resources, etc.)
  • Must possess excellent verbal and written communication skills
  • Skilled in using office machines such as fax machines, copiers, label maker, and printers.
  • Ability to gain functional knowledge of medical terminology, ICD-coding, CPT coding and other managed care requirements
  • Knowledge of Washington State health care guidelines and procedures
  • Skilled in working independently; working in a team setting; and using independent judgement
  • Skilled in handling difficult interpersonal interactions with discretion and diplomacy
  • Skilled in prioritizing and completing multiple tasks simultaneously
  • Ability to work with interpreters and clients for whom English is a second language
  • Knowledge of state health care programs


Supplemental Information

Forbes recently named King County as one of Washington State's best employers.

Together, with leadership and our employees, we're changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference? Come join the team dedicated to serving one of the nation's best places to live, work and play.

Guided by our "True North", we are making King County a welcoming community where every person can thrive. We value diversity, inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting, support, and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles--we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply, including Native American and people of color, immigrants, refugees, women, LGBTQ+, people living with disabilities, and veterans.

COVID-19 Vaccination Requirement

King County Executive Branch employees are required to be fully vaccinated against COVID-19. If you are the successful candidate for the position you applied for, the County will send you a conditional offer letter.

As a condition of employment, prior to a final offer of employment, you will be required to:

  • submit proof of vaccination, or
  • have an approved request for medical or religious exemption and an approved accommodation. Philosophical, political, scientific, or sociological objections to vaccination will not be considered for an exemption or accommodation.
People are considered fully vaccinated against COVID-19 two weeks after receiving the final dose of a vaccination approved by the Center for Disease Control and Prevention (CDC).

The Executive Branch includes employees in the Executive branch, the Assessor's Office, Elections, the King County Sheriff's Office, and the Executive Office.

King County is an Equal Employment Opportunity (EEO) Employer

No person is unlawfully excluded from employment opportunities based on race, color, religion, national origin, sex (including gender identity, sexual orientation and pregnancy), age, genetic information, disability, veteran status, or other protected class. Our EEO policy applies to all employment actions, including but not limited to recruitment, hiring, selection for training, promotion, transfer, demotion, layoff, termination, rates of pay or other forms of compensation.

To Apply

If you are interested in pursuing this position, please follow the application instructions carefully. If you need this announcement in an alternate language or format, would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.

APPLICATION MATERIALS.  The following application materials are required: 
  • A Completed Online Application 
  • Supplemental Questionnaire 
  • Resume 
UNION AFFILIATION: This position is represented by a PROTEC17.  
   
WORK SCHEDULE:  This position is non-exempt and eligible for overtime. Typical hours are Monday - Friday 8am-5pm.

Contact: If you have any questions with this requisition or require an accommodation, please contact Mark Lacy at Mlacy@kingcounty.gov  

King County offers a highly-competitive compensation and benefits package designed to meet the diverse needs of our employees and support our employees' health and well-being.  Eligible positions receive the following benefits and have access to the following programs:

  • Medical, dental, and vision coverage: King County pays 100% of the premiums for eligible employees and family members
  • Life and disability insurance: employees are provided basic coverage and given the opportunity to purchase additional insurance for both the employee and eligible dependents
  • Retirement: King County employees are eligible to participate in a pension plan through the Washington State Department of Retirement Systems and a 457(b) deferred-compensation plan
  • Transportation program and ORCA transit pass
  • 10 paid holidays each year (plus 2 personal holidays)
  • Generous vacation and paid sick leave
  • Paid parental leave, family and medical leaves, and volunteer leave
  • Flexible Spending Account
  • Wellness programs
  • Onsite gyms and activity centers
  • Employee giving program
  • Employee assistance programs
  • Flexible schedules and telecommuting options, depending on position
  • Training and career development programs
For additional information about employee benefits please visit our Benefits, Payroll, and Retirement Page.

This is a general description of the benefits offered to eligible King County employees, and every effort has been made to ensure its accuracy.  If any information on this document conflicts with the provisions of a collective bargaining agreement (CBA), the CBA prevails.  Also, in the event of any incorrect information in this document, applicable laws, policies, rules, CBAs, or official plan documents will prevail.
 
NOTE:  Benefits for Term Limited Temporary (TLT) or Short Term Temporary (STT) positions, including leave eligibility and/or participation in the pension plan through the Washington State Department of Retirement Systems, will vary based upon the terms and details of the position. Short Term Temporary positions are not eligible for an ORCA transit pass.
 
For inquiries about the specifics of this position, please contact the recruiter identified on this job posting.

01
Please describe your training and/or experience in a position requiring significant public contact where you were responsible for providing detailed information over the phone or in person. This would include determining whether calls should be referred to someone else, as well as exchanging, correcting, and verifying information received from members of the public quickly and efficiently.
02
Do you have experience making outside referrals and/or coordinating care with another organization (i.e. insurance navigation, medical/dental services, housing, substance abuse treatment, mental health services)?
  • Yes
  • No
03
Do you have experience working with diverse populations such as different ages, ethnic groups, and those who speak limited English?
  • Yes
  • No
04
If you answered yes to the previous question, please describe your experience. If you answered no, write n/a.
05
Do you have experience with or knowledge of trauma informed care?
  • Yes
  • No
06
If yes, please describe a situation where you used a trauma informed guiding principle. If you do not have this experience, enter n/a.
07
Do you have experience working with people living homeless, experiencing a mental health crisis, or other vulnerable populations?
  • Yes
  • No
08
This position requires that you report to duty regardless of inclement weather. Will you be able to report to your regularly assigned shift in inclement weather?
  • Yes
  • No
09
Please select the electronic health record systems that you have experience with.
  • Epic
  • Both OCHIN EPIC and Epic
  • OCHIN Epic
  • Neither Epic and OCHIN Epic
10
Please select software programs for which you have successful working experience with:
  • Microsoft SharePoint
  • Microsoft Word
  • Microsoft Excel
  • Microsoft Teams
  • Microsoft O365
  • Microsoft Outlook
  • None of the Above
11
Are you applying to this position as an eligible current or previous King County Employee Priority Placement Program Participant? Is this position the same or lower percentage of full-time when compared to the position held at the point of the notification of layoff? Do you possess the skills and abilities to qualify for this position?
  • Yes, I was given a layoff notice from my role at King County and I am within two years of the effective date of my layoff. Additionally, the position I was laid off from was the same or a higher percentage of FT status when compared to this one.
  • No.
12
If you answered yes to the question above and you are applying for this position as a Priority Placement Participant, to be considered, you must provide the following three pieces of information in the space provided: 1. The title you held when you received your layoff notice 2. The department you worked in 3. The effective date of your layoff

Required Question