Referral Coordinator, Family Medicine East, 8a-4:30p
About The Position
The Referral Coordinator works with patients requiring referrals to ensure their needs are fulfilled for specialty service office visits and diagnostic imaging. The role processes referrals, authorizations, and pre-certifications to support timely reimbursement; schedules appointments; and notifies patients of upcoming appointments. The coordinator works closely with physicians, patients, and payers; communicates information about health care plans and responds to billing and insurance clarification questions. The role coordinates clinic visits and special arrangements, maintains referral information and documentation in the system, and assists with patient referral complaints. The position also includes telephone and clerical duties and requires compliance with company policies and HIPAA privacy and security requirements.
Requirements
- High school diploma or equivalent.
- Minimum one year of experience working in a medical facility with knowledge of the health care field and medical office protocols and procedures (preferred).
Nice To Haves
- Minimum one year of experience working in a medical facility with knowledge of the health care field and medical office protocols and procedures.
Responsibilities
- Gather, verify, and process referrals, authorizations, and pre-certifications in coordination with physicians, patients, and payers.
- Communicate detailed information about health care plans and answer patients’ billing and insurance clarification questions.
- Set up appointments, coordinate clinic visits, and arrange services such as transportation, interpreter services, and specialty care.
- Coordinate information flow between the medical clinic and referral authorization department to secure valid referrals for clinic patients.
- Enter referrals and document communications and actions in the system, as appropriate.
- Notify physicians and patients when a referral is denied or additional information is needed.
- Develop and maintain a database of referral physician offices preferred by each clinic physician.
- Assist the Practice Manager with resolving complaints and finding solutions related to patient referrals.
- Answer telephone calls promptly and professionally.
- Fulfill clerical responsibilities as assigned.
- Maintain compliance with company policies, procedures, and standards of conduct.
- Comply with HIPAA privacy and security requirements to maintain confidentiality.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
