Referral Coordinator - Cardiology

IMS Care Center•Avondale, AZ

24d

About The Position

Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality, innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS Care Clinic is currently searching for a professional, compassionate, and knowledgeable individual to fill the position of Referral Coordinator in our Cardiology clinic in Avondale. The Referral Coordinator is responsible for completing authorizations and referrals for our medical services. In addition to reviewing the medical history of potential patients, you will verify information provided by their referring physicians and their insurance coverage. You will also monitor the schedule for our add-on patients, ensuring there are no conflicts and we have the prior authorization we need to move forward with their appointment or procedure.

Requirements

2 years experience preferred
Bilingual in Spanish strongly preferred
Knowledge of ICD, CPT codes, and insurance carriers claim requirements
Excellent communication skills-both written and verbal
Good computer skills and being familiar with Microsoft (Word and Excel)
EMR (Athena) experience a plus
Excellent verbal and communication skills
High School Diploma or GED

Responsibilities

Complete authorizations and referrals for services, including appointments and procedures
Review patient’s medical history and insurance coverage for approval
Contact referring physicians for additional information as needed
Input new patient information and update information in our system
Monitor schedule for potential issues
Complete billing documentation
Assist with other clerical tasks as needed
Initiate prior authorization for cardiac procedures and testing, and outpatient procedures
Obtain prior authorization for procedures and testing in the office and the hospital
Understand and explain benefits, copays, coinsurances and deductibles to patients
Schedule patients for testing
Document prior authorization and insurance verification notes in EMR
Communicate with providers related to documentation for orders
Collaborate with all IMS departments as needed
Answering telephones and answering team messages from other departments