Referral Coordinator

Cone Health • Greensboro, NC

34d

About The Position

The Referral Coordinator assists in the referral of patients to internal and external practices. This role also helps with the verification and documentation of patient treatment, making sure that patients do not receive treatment that they already had or would not be covered through insurance or another third-party payer. Supports the verification of patients' coverage by third party payers using payment eligibility websites to monitor and flag potential coverage issues to patients and providers. Faxes or mails relevant documentation to the appropriate internal or external provider to get relevant information for the patient into the correct hands. Schedules referral appointments and procedures in coordination with patient's insurance network to find and identify providers that fit a patient's need and budget. Completes a referral form for each patient to enable external and some internal offices to be aware of why the patient was referred there and the appropriate treatment for them. Obtains pre-authorization or pre-certification for necessary procedures in order to expedite the process of treatment for patients, providers and families, paying close attention to details. Performs other duties as assigned.

Requirements

• High School Diploma or equivalent
• Two or more years in a medical office or customer service-related field

Responsibilities

• Assists in the referral of patients to internal and external practices.
• Helps with the verification and documentation of patient treatment.
• Supports the verification of patients' coverage by third party payers using payment eligibility websites to monitor and flag potential coverage issues to patients and providers.
• Faxes or mails relevant documentation to the appropriate internal or external provider.
• Schedules referral appointments and procedures in coordination with patient's insurance network.
• Completes a referral form for each patient.
• Obtains pre-authorization or pre-certification for necessary procedures.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees