We are seeking a Referral Coordinator to join our team. The Referral Coordinator is a highly visible customer service and patient-focused role. The incumbent in this role works directly with our patient population and their families, insurance representatives and outside vendors, physicians, clinicians and other medical personnel to ensure the referral process runs smoothly. He/She operates in a dynamic and professional environment to ensure the highest level of quality healthcare is delivered to our members.
EDUCATION AND EXPERIENCE CRITERIA:
- High School diploma or equivalent required
- A minimum of 2 year of relevant work experience in customer service, patient referrals, and/or insurance verification required
- 2 years data entry experience
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
Coordinates and processes patient referrals to completion with precision, detail and accuracy.
Definition of completion:
- Prioritizes HPP patients in Primary Care Physicians panel, stats, expedites and orders over 5 days.
- Orders have been approved (when needed).
- Schedules patient (Preferred Providers List of Specialist) and notifies them of appointment information, including, date, time, location, etc.
- Uses Web IVR to generate authorizations (Availity, Careplus, Healthhelp NIA and any other approved web IVR for authorization processing).
- Completes orders with proper documentation on where patient is scheduled and how patient was notified.
- Referrals have been sent to specialist office & confirmed receipt
- Addresses referral based phone calls for Primary Care Physicians panel.
- Completes and addresses phone messages within 24 hours of call.
KNOWLEDGE, SKILLS AND ABILITIES:
- Knowledge of medical terminology, CPT, HCPCS and ICD coding desired
- Detail-oriented with the ability to multi-task. Must be open to cross-functionally training in referrals and back office duties
- Able to exercise proper phone etiquette with the ability to navigate proficiently through computer software systems
- Team-oriented with the ability to work extremely well with patients, colleagues, physicians and other personnel in a professional and courteous manner
- Exceptional organizational skills with the ability to effectively prioritize and timely complete tasks
- Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
If you are a motivated individual with a passion for helping patients receive the best care possible, we encourage you to apply for this exciting opportunity.
Job Type: Full-time
Pay: From $19.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
- No weekends
Experience:
- Medical billing: 2 years (Required)
- Insurance verification: 3 years (Required)
Work Location: In person