Clinical Referral Specialist

Why work for Balboa?

• Balboa Nephrology is the largest kidney care practice in California and participates in a national Medicare program focused on value-based care.
• We will help you grow in your leadership experiences while learning the new value-based care world.
• Comprehensive benefits package that includes medical, dental & vision first of the following month after hire.
• Employer contribution of up to 10% of annual pay for your 401K.
• Generous paid time off plus 8 paid holidays, a birthday float day off and a mental health day!
• Company paid life insurance.
• Voted Top Workplace of San Diego 2017, 2020, 2021 and 2022!

Our Values: Patient-centered I Accountability I Respect I Innovation I Data-Driven

Our Mission: to consistently deliver superior care – Balboa Care – to every patient with kidney disease.

About the Position
The Clinical Referral Specialist will be responsible for completing all incoming and outgoing Clinical Referrals from start to finish – through the process of referral initiation to patient completion. Additionally, will check in with the patient to ensure the referral has been completed and the results are uploaded to the correct platform.

Pay Range: $12.50/hour

Essential Duties and Responsibilities

In this position, you will be responsible for the following duties (but not limited to the items listed below):

• Manage incoming and outgoing referrals of the work queues
• Includes the following tasks (but not limited) for the referrals
  • Transcribing orders from 1.0 and faxes
  • Authorizations
  • Scheduling
  • Completing notes and documentation from start to finish
  • Adding and tracking referrals in Camino
  • Scanning in appropriate results/consults and attaching to the order
  • Fax order and authorizations within our EMR system; Epic
  • Closing referrals

• Manage all Fistulas and Graft referrals for the CKCC Patient Population to ensure an Optimal Start
• Manage the Catheter List within Camino
• Verify patient insurance eligibility, submit prior authorizations if needed, and obtain referrals when necessary
• Ensuring patient is assigned a unit for home therapy training, if patient is not assigned then coordinate with the dialysis center
• Other duties required to adequately fulfill the duties of your position include
  • Attend team meetings, phone conferences, and training as needed
  • Know, understand, and follow company guidelines, policies, and procedures policies
  • Know, understand, and comply with all clinical and business policies and procedures
  • Consistent, regular, punctual attendance as scheduled
• Other duties and tasks as assigned

Required Qualifications

• Minimum 2 years’ experience working in a clinical setting with front office responsibilities and customer service involvement
• Proficiency using EHR software applications
• Certified Medical Assistant
• Bilingual in English/Spanish
• Must be located in Clark County, Nevada

Preferred Qualifications

• Experience using EPIC

Required Skills

• Excellent verbal and written communication
• Ability to provide excellent customer service
• Ability to interpret, adapt and apply guidelines and procedures
• Ability to use good reasoning and judgement and react appropriately in emergency situations
• Ability to establish and maintain effective working relationships with patients, medical staff, and coworkers

Other Considerations

• Background check required
• Travel to other sites located within San Diego County may be required
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
• Supervisory duties – no
• Status – full time
• Work Environment – This position operates in a professional office environment and routinely uses standard office equipment such as laptop, computer, mouse, and photocopier.
• Physical Demands – While performing duties, the employee is regularly required to talk, hear, read, write, type, and respond. Specific vision abilities required by this job include close vision and ability to adjust focus. This position requires the ability to lift up to 25 pounds, open cabinets at various levels, bend, stand, stoop and drive as necessary.

About Balboa United
Beginning in 1973, Balboa has grown from two physicians to a comprehensive nephrology team of 52 board certified physicians and 8 advanced practitioners. On January 1, 2018, Balboa Nephrology Medical Group (BNMG) launched Balboa United, a full-service medical practice management services organization. From one small office, BNMG now has 24 clinical offices throughout San Diego, Imperial, Orange, and Riverside counties. In addition to office and hospital-based patient care, Balboa physicians manage the dialysis treatments of approximately 4,500 patients at 88 dialysis centers and conduct Nephrology based clinical research at 6 centers throughout Imperial and San Diego counties (California Institute of Renal Research).

EEO Statement Balboa United is an equal opportunity employer and makes employment decisions on the basis of merit. We want to have the best available person in every job. Our Company policy prohibits unlawful discrimination based on race, color, creed, religion (including religious dress & grooming), sex (including pregnancy, childbirth or related medical conditions), gender (including gender identity and gender expression), marital status, registered domestic partner status, military status, age, national origin or ancestry, physical or mental disability, medical condition (including cancer and genetic characteristics), genetic information, sexual orientation, or any other basis protected by applicable federal, state, or local law. We also prohibit unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics. The Company is committed to compliance with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in our operations and prohibits unlawful discrimination by any employee of Balboa United, including managers and co-workers. If you believe you have been subjected to any form of unlawful discrimination, submit a written complaint to your manager or Human Resources (HR). Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your complaint, or if you prefer to make a complaint in person, contact the Company's Human Resources Department. We will immediately undertake an effective, thorough, and objective investigation and attempt to resolve the situation.