New Patient Referral Coordinator

Balboa Care Nephrology Research Enterprise United • Henderson, NV

2d • $21 • Remote

About The Position

This position is responsible for maintaining relationships with incoming referral sources, ensuring that all new patients are seen timely and provided with the information for the initial consultation.

Requirements

• High School Diploma or equivalent
• Medical Assistant Certification; 3 years’ experience may be substituted for certification
• 3+ years of both front and back office medical assistant clinical experience
• Experience verifying eligibility and requesting/obtaining authorizations, preferably in a high-volume environment is highly preferred.
• Ability to distinguish between primary and secondary payers and identify insurance products
• Advanced understanding of and experience dealing with various types of insurance, e.g., HMOs, PPOs, IPAs, POSs, EPOs, Medicare, Medi-Cal
• Thorough understanding of the referral and authorization process
• Strong computer skills including EMR experience
• Must be located in Clark County, Nevada.
• Experience using EPIC
• Bilingual in Spanish

Responsibilities

• Processing New Patient Referrals
• Receive new patient referral from location folder (Located in Centralized New Patient Referrals in faxes folder) or in other platforms like Microsoft Teams or Sharepoint
• Verify if patient has been seen within the last 3 years, if the patient has been seen within the last three years then the patient is NOT a New Patient.
• Create patients' chart, adding demos and insurance information, PCP and Referring MD.
• Ensures authorization is received if needed.
• Enter new patient referral using "referral entry"
• Apply Template for incoming referrals
• Upload all documents individually into Media Manager for staff/provider convenience.
• Requests any additional information needed from referring provider if not in the patient’s chart, such as progress notes, labs, radiology, etc.
• Work with clinic staff, Clinic Manager, and MD as needed to appropriately schedule the patient
• Scheduling Appointments
• Call the patient to schedule the appointment
• Once appointment is scheduled, provide the patient an overview of what to expect on their first visit and send their appointment reminder via Doximity
• Ensure patient is setup with MyChart
• Walk the patient through the Telehealth Process for virtual visits
• Monitor “no shows” for appointments and work to reschedule
• Expect to take 15 - 20 calls per workday

Benefits

• Comprehensive benefits package that includes medical, dental & vision on the 1st of the month 30 days 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED