About The Position

The Referral Coordinator processes and follows up on referrals and procedure orders generated by providers, and communicates with patients about them. The role initiates service authorizations and requires knowledge of insurance coverage, documentation of authorizations, and communication of authorization status to practice staff. The coordinator also verifies insurance eligibility, explains applicable patient financial responsibilities, and collects patient portions when applicable.

Requirements

  • High school diploma or equivalent.
  • At least 1 year of experience in healthcare or a medical office.

Responsibilities

  • Process incoming and outgoing referrals and orders in a timely manner.
  • Document phone calls, messages, and interactions with patients and insurance companies in the patient chart or applicable order systems.
  • Obtain prior authorizations for appointments and procedures.
  • Update patient demographics in the practice management system.
  • Verify health insurance eligibility and understand applicable copays, coinsurance, and deductibles.
  • Explain financial requirements to patients or responsible parties and collect patient financial portions, as applicable.
  • Operate office equipment effectively.
  • Work closely with Baptist Medical Group representatives, medical facilities, insurance companies, patients, and family members.
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