Referral Coordinator - 3147 S 17th - Full Time

Wilmington Health PLLCWilmington, NC
5h

About The Position

The Referral Coordinator is responsible for managing all aspects of the referral process, including responding to internal and external referral requests, documenting all actions, and communicating appointment scheduling, prior authorization approval, benefits, and collections information using the Practice Management system. This role ensures accurate and timely coordination between medical entities, patients, and internal departments.

Requirements

  • High School Diploma or equivalent (required)
  • Strong communication skills, both verbal and written.
  • Proficient in using Practice Management software systems.
  • Ability to work in a fast-paced environment while maintaining attention to detail.
  • Collaborative team player with a focus on customer service.

Nice To Haves

  • Experience in medical office administration, referrals, or related field

Responsibilities

  • Appointment and Authorization Management: Obtain necessary appointments, authorization, prior approval, and benefit information from relevant entities for assigned tasks.
  • Documentation: Record all obtained information, including demographic, insurance, and medical records, into the Practice Management system with accuracy and timeliness.
  • Information Exchange: Provide required paperwork, such as demographic information, insurance details, and medical records, to medical entities as necessary.
  • Patient Communication: Clearly communicate with patients regarding appointment details, authorizations, benefits, and any necessary collections information.
  • Phone Communication: Answer all incoming calls routed to the designated number, take messages, and order charts when necessary. Relay messages in a timely and efficient manner, while refraining from triaging calls.
  • Coordination with Suite of Origin: Collaborate with the originating suite (medical practice or department) to relay all relevant information, ensuring smooth and clear communication.
  • Collaborative Follow-up: Work closely with the Central Business Office to follow up on claims and ensure all information is appropriately documented and processed for billing and collections.
  • Meeting Attendance: Participate in team, staff and clinical department meetings and other relevant meetings as required by department managers.
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