Referral Authorization Coordinator

TIDEWATER PHYSICIANS MULTISPECIALTY GROUP P C • Suffolk, VA

2d • Onsite

About The Position

The Referral Authorization Coordinator is responsible for coordinating specialty care for patients in need of external consultation as requested by the primary care physician. The Referral Coordinator will also be responsible for scheduling, tracking, referral case management and providing reports. The Referral Coordinator will represent the company professionally and positively to enhance and promote the core values and mission, always exercising utmost discretion, diplomacy and tact in customer interactions.

Requirements

• Knowledge of current Microsoft Office Suites including Word, Excel, Outlook, PowerPoint, Access. Office 2007 or newer required.
• Knowledge of appropriate medical terminology
• Skill in providing excellent customer service.
• Skill in verbal and written communication.
• Ability to work scheduled hours as defined in the job offer.
• Ability to modify own working style, approach, or methodology to fit new/changing circumstances.
• Ability to read and understand oral and written instructions and follow written protocols.
• Associates degree or equivalent.
• At least 1 year of relevant experience.

Nice To Haves

• Alignment with Company Mission and Core Values
• Excellent Time Management/Organized
• Open Communication/Positive Goal Driven
• Excellent Customer Service
• Juggles Multiple Priorities
• Accuracy and Attention to Detail
• Accomplished in word processing and worksheet utilization

Responsibilities

• Ensure complete and accurate patient demographics and current insurance information.
• Processes patient referrals to specialty providers by preparing medical charts and records for referral patient visits and providing appropriate clinical information to specialist.
• Obtain authorizations for patient referrals to specialists, diagnostic testing and procedures.
• Advise physician if authorization request is denied.
• Maintains Insurance authorization for each patient and establishes patients benefits eligibility (not limited to copay, coinsurance, deductible, out of pocket, etc.)
• Maintains patient charts by Chart Prepping daily.
• Maintain ongoing tracking and appropriate documentation on referrals by recording all referrals into EHR.
• Ensure that referrals are addressed in a timely manner, prioritizing urgent items appropriately.
• Other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree