Referral Coordinator

Conifer Health SolutionsDelray Beach, FL

About The Position

The Referral Coordinator is responsible for all referrals for the medical offices in the market. This role processes patient referrals, facilitates orders to outside facilities, and coordinates the scheduling of office visits for referred patients. The coordinator also assists patients in finding resources that accept various insurances and obtains pre-authorizations from payers. Additionally, they call insurance companies to get medications approved that may have been denied due to formulary changes. The position requires ensuring all interactions are friendly, courteous, helpful, and considerate, and managing, copying, and reviewing medical records for accuracy.

Requirements

  • High School Diploma/GED
  • 4 years of experience in a Physician Practice required
  • Proficiency in a windows environment with a working knowledge of Word, Outlook, and the Internet is required
  • Willingness to be flexible and adaptable in a complex, matrix environment

Nice To Haves

  • Completion of Medical Office Assistant program preferred
  • Healthcare management/administration certification preferred
  • EMR/EHR experience preferred
  • NextGen or Athena experience preferred

Responsibilities

  • Process patient referral
  • Facilitates orders outside to outside facilities
  • Answers telephones in a prompt and courteous manner
  • Coordinate scheduling of office visits for the referred patient
  • Assist patient with finding resources that accept the various insurances
  • Obtains pre-authorization from payers
  • Calls insurance companies to get medications approved that may have been denied due to formulary changes
  • Ensures that all contacts with patients, the public, physicians and other personnel are carried out in a friendly, courteous, helpful and considerate manner
  • Manage, copy, and review medical records to ensure accuracy
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