Referral Coordinator

Rancho Health MSO, Inc•Temecula, CA

37d•$23 - $25•Onsite

About The Position

The Referral Coordinator is responsible for the coordination and processing of patient referrals and authorizations ordered by the doctors and mid-levels within Rancho. The Referral Coordinator will ensure that patients receive an efficient referral process within a timely manner and answer any questions the staff or patient may have regarding the referral. This position is also responsible for maintaining patient records and confidentiality, managing multiple schedules, and ensuring that patient information is complete and up to date.

Requirements

High School Diploma or equivalent (GED) required.
1 year of experience in a medical office or hospital setting.
Knowledge of medical terminology desired.
Successful completion of a medical front office program or on the job training with an emphasis on customer service.
Experience with Microsoft Office software.
Experience with ICD-10 & CPT coding systems.
Experience processing specialty referrals.
Bilingual in Spanish preferred.
Basic knowledge of frequently ordered diagnostic testing is preferred.
Duties require professional verbal and written communication skills.
Understanding principles and practices of the organization, planning, records management, and general administration.
Dependability, adaptability, and confidentiality are necessary attributes.
Ability to work with clinical staff and handle directions from more than one provider.
Ability to communicate well with IPA’s and PPO insurances, providers, and staff.
Ability to order tests for patients.
Customer service skills.
Politeness, confidence, tact, patience, and diplomacy while dealing with complex and confidential situations.
Excellent communication skills.
Problem solving skills.
Ability to maintain a professional and courteous relationship with all members.
Ability to learn about patients and their problems.
Integrity and honesty to handle payments and cash drawers.
Professional communication skills.
Have compassion and care for patients in their time of need.
Be willing to work in a dynamic team-based setting where daily job duties may fluctuate depending on need.
Must be authorized to work in the United States.

Responsibilities

Verify patients' insurance eligibility.
Contact insurance companies.
Transfer/ upload information from an order in the EMR to other applications accurately.
Call and obtain notes from specialists, labs, and/or imaging pertaining to the order.
Efficiently and accurately attach all relevant information to the authorization.
Work cooperatively with others, including appropriate communication with patients, providers, support staff and administration.
Process daily task list that has been created by providers (HMO and PPO insurances).
Contact patients with any questions and approvals.
Contact Independent Physician Associate (IPA).
Order testing is needed to process referral or send tasks to appropriate staff.
Send medical records to offices to help process requests, as well as authorized copies to patients.
Assist with scheduling patient appointments with outside providers.
Troubleshoot and help find solutions for patients denied referrals.