Pre-Authorization and Referral Coordinator

Clearwater Cardiovascular Consultants•Clearwater, FL

11h•Onsite

About The Position

We are seeking a Full-Time detail-oriented and organized Authorization & Referral Coordinator to join our healthcare team. The ideal candidate will play a crucial role in managing patient referrals, ensuring seamless communication between patients, healthcare providers, and insurance companies. This position requires a strong understanding of medical terminology, coding practices, and insurance verification processes. The Referral Coordinator will contribute to the overall efficiency of our office while providing exceptional service to our patients.

Requirements

Familiarity with medical coding practices and terminology.
Strong organizational skills with attention to detail.
Excellent communication skills, both verbal and written.
Proficiency in insurance verification processes and managed care systems.
Ability to work independently as well as part of a team.
Proficient in using office software applications for documentation and communication.
Insurance verification: 3 years (Required)
Referrals & Authorizations: 3 years (Required)

Nice To Haves

Previous experience in a medical office is preferred.

Responsibilities

Manage and process patient referrals in a timely manner, ensuring all necessary documentation is complete.
Verify insurance eligibility and benefits for referred patients.
Communicate effectively with patients, healthcare providers, and insurance companies to coordinate care.
Maintain accurate records of referrals and follow-up actions in the electronic health record system.
Assist with medical coding using ICD-10 codes as required.
Collaborate with the medical office team to streamline authorization & referral processes and improve patient flow.
Stay updated on managed care policies and procedures to ensure compliance.
Provide support for any inquiries related to referrals or insurance verification.