Referral Coordinator, Heart Center

Olympic Medical Center•Sequim, WA

4d•$24 - $33

About The Position

The Referral Coordinator is responsible for daily centralized scheduling activities, including but not limited to administrative requirements needed to obtain pre-authorization for medical specialty visits referred by a physician, customer service, patient scheduling, telephone triage, fielding patient referral and billing questions, filing, faxing, sending medical records, and timely and accurate data entry into multiple computer systems and logs. The Referral Coordinator acts as a liaison between the referring physician, technical staff, patient, and insurance companies, and verifies that the exam being requested is appropriate for the diagnosis code identified. The Referral Coordinator also verifies insurance coverage, obtains authorization for services, sets up appointments with referred physicians, and acts as backup during absence of other scheduling staff. The successful incumbent will have experience working as a member of a team and with customers in stressful situations.

Requirements

High school diploma/equivalent
Clinical medical experience or prior training/education in medical terminology required
Two years’ experience in a medical facility required
Two years’ experience working with administration requirements for preauthorization or verification of insurance plans including Medicare, Medicaid, and private/commercial insurances required
Completed training for and has the ability to work at all Heart Center locations
experience working as a member of a team and with customers in stressful situations

Nice To Haves

Knowledge of diagnostic imaging procedures preferred
Medical Assistant education or training preferred
Prior work experience with CPT and ICD-10 coding, third-party payers, pre-authorization requirements and Epic EMR preferred

Responsibilities

daily centralized scheduling activities
administrative requirements needed to obtain pre-authorization for medical specialty visits referred by a physician
customer service
patient scheduling
telephone triage
fielding patient referral and billing questions
filing
faxing
sending medical records
timely and accurate data entry into multiple computer systems and logs
liaison between the referring physician, technical staff, patient, and insurance companies
verifies that the exam being requested is appropriate for the diagnosis code identified
verifies insurance coverage
obtains authorization for services
sets up appointments with referred physicians
acts as backup during absence of other scheduling staff