Referral Coordinator LLH

Riverside Hospital•Newport News, VA

About The Position

Works under the supervision of the Director of Admissions. Primarily responsible for coordinating completion of insurance-mandated referrals and authorizations in a timely fashion before the date of service, updating patient chart records with necessary referral information, flagging and faxing appropriate medical records, and contacting transition coordinators with updated insurance authorization information.

Requirements

  • High school education or equivalent.
  • One year of medical office experience.

Responsibilities

  • Obtains insurance prior authorizations before the date of service to support quality patient care.
  • Verifies insurance and obtains estimates.
  • Reports potential compliance concerns to the sleep supervisor.
  • Performs end-of-month duties, including Admission Statistics Reports, researching pending referrals, and compiling monthly reports.
  • Provides exceptional customer service by using an appropriate tone, willingness to help, clinical knowledge to collect complete and appropriate referral data, and efficient and appropriate phone handling.
  • Serves as an information resource for applicable services, including contact information, coverage criteria, availability, and alternatives when appropriate.
  • Performs office duties, including filing, maintaining the white board, managing and coordinating orders for office/par-level supplies, and assisting with other office procedures as needed.
  • Functions as a timekeeper for the department.
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