Referral Coordinator

Kintegra Health•Gastonia, NC

2h•Onsite

About The Position

Under the direct supervision of the Customer Care Supervisor, this position is responsible in obtaining information, insurance verification and authorization required for proper patient treatment and referrals in a timely and accurate manner.

Requirements

High School Diploma or GED certificate required
two years related experience and/or training; equivalent combination of education and experience.
Basic skills using MS Excel and MS Word.
Ability to handle a high volume of patient flow with comfort and confidence.
Knowledge of ICD-9 and CPT codes for the purpose of authorizations.
Knowledge of insurance plans and their rules.

Nice To Haves

Bilingual (English/Spanish) preferred.

Responsibilities

Must be able to sit, stand and walk for long periods of time
Ability to read and understand the English language
Ability to effectively maintain confidentiality of records and communicate with all levels of personnel
Receive, track and obtain insurance authorization from in-network and out-of-network insurance carriers for referred patient and Follow-Up visits with Specialty care providers.
Process physician referral orders (EMG, CT, MRI, etc.) using Allscripts (EMR system). This includes obtaining any insurance authorization needed.
Coordinate new therapy referrals for insurance plans that require authorization (AHCCCS, work comp, etc). This includes obtaining any insurance authorization needed.
Accurately enter notes into Allscripts (EMR system) regarding letters or correspondence from insurance companies regarding insurance authorization or other notifications. These documents should also be scanned into the appropriate patients chart in Allscripts (EMR system).
Remain updated with therapy & radiology location insurance contracts.
Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
Documents all interactions on an account with a Note.
Ability to write simple correspondence.
Ability to effectively present information in one-on-one and small group situations to patients, clients, and other employees of the organization.
Ability to apply common sense understanding to carry out detailed written or oral instructions.