Referral Coordinator - Multiple Clinics

TriState Health•Clarkston, WA

8d•$39,520 - $61,568•Onsite

About The Position

The Referral Coordinator is responsible for ensuring that incoming referrals are processed and prepared for scheduling with the appropriate clinic. The Coordinator will process referrals in a timely manner and prioritize those that are deemed as urgent. Duties and responsibility include, but are not limited to: contacting referring providers/facilities to gather information as needed, verification of patient insurance and benefit information, verification of bad debt and referral to Patient Access if needed, update patient information within the EMR as necessary. The Referrals Coordinator will work closely with the providers and staff of the clinics to which the referrals are directed. The Referrals Coordinator will assure the completion of records and data gathering as directed per provider. Referral Coordinator will review incoming referrals with specific insurance types to assure authorization to see specialist has been put in place by referring provider/facility. The Referral Coordinator complies with HIPAA regulations as well as the organizations policies and procedures regarding patient privacy and confidentially, maintains professional tones at all times when communicating with patients, providers and other representatives and performs other clerical duties as required.

Requirements

High school graduate or GED, required.
Minimum of 1 year experience in a medical office or hospital setting.
Experience performing pre-authorization functions or medical insurance billing.
Familiarity with medical terminology and nomenclature.
Strong verbal and written communication skills.
Excellent phone etiquette.
Strong interpersonal skills.
Experience with computers and programs such as Word, Excel and other office software and hardware.

Nice To Haves

CPT/ICD coding experience preferred.

Responsibilities

Process incoming referrals and prepare them for scheduling with the appropriate clinic.
Process referrals in a timely manner and prioritize urgent cases.
Contact referring providers/facilities to gather necessary information.
Verify patient insurance and benefit information.
Verify bad debt and refer to Patient Access if needed.
Update patient information within the EMR.
Work closely with clinic providers and staff.
Assure completion of records and data gathering as directed per provider.
Review incoming referrals with specific insurance types to ensure authorization for specialist visits is in place.
Comply with HIPAA regulations and organizational policies regarding patient privacy and confidentiality.
Maintain professional tones when communicating with patients, providers, and other representatives.
Perform other clerical duties as required.