Referral Coordinator

Healthcare Outcomes Performance Co. (HOPCo) • Cypress Lake, FL

1d

About The Position

The Referral Coordinator is responsible for managing patient referrals, maintaining patient records, verifying insurance information, and providing administrative support. This role involves direct patient interaction to answer questions and resolve issues, ensuring patients have the necessary information for care decisions. The coordinator also manages inventory, orders supplies, and handles front desk duties including check-in/check-out, insurance verification, copay collection, pre-certifications, and HMO referrals.

Requirements

• High school diploma/GED or equivalent working knowledge.
• 0-2 years of experience in the field or a related area.
• Knowledge of commonly used concepts, practices, and procedures within a particular field.
• Ability to rely on instructions and pre-established guidelines.
• One year of medical experience from a similar setting.
• Data Entry and/or Front office experience.
• Healthcare experience is a plus.

Responsibilities

• Coordinate referral appointments, managing incoming patient referrals and providing patients with referrals to other care providers.
• Maintain and update patient records in accordance with laws and regulations.
• Verify patient insurance information by contacting insurance representatives to confirm coverage, check procedure coverage, and verify copay and billing information for reimbursement.
• Provide administrative support, including answering phone calls and emails, managing schedules, and maintaining files.
• Ensure doctors and nurses have necessary supplies and patient records prior to appointments.
• Answer patient questions and resolve issues that arise during office visits, providing information necessary for critical care decisions in accordance with HIPAA.
• Manage inventory, including ordering medications, DME's, and supplies, and maintain vendor relations.
• Perform front desk duties such as check-in, check-out, patient insurance verification, copay collections, pre-certifications, and processing HMO referrals.

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 101-250 employees