Referral Coordinator LLH

Riverside Health System•Newport News, VA
•$19 - $25

About The Position

The Referral Coordinator works under the supervision of the Director of Admissions. The role coordinates the timely completion of insurance-mandated referrals and authorizations before the date of service, updates patient chart records with required referral information, flags and faxes appropriate medical records, and contacts transition coordinators with updated insurance authorization information.

Requirements

  • High school diploma or equivalent.
  • One year of medical office experience.

Responsibilities

  • Obtain insurance prior authorizations before the date of service to support quality patient care.
  • Verify insurance and obtain estimates.
  • Report potential compliance concerns to the sleep supervisor.
  • Complete end-of-month duties, including Admission Statistics Reports, research of pending referrals, and compilation of monthly reports.
  • Provide customer service by collecting complete and appropriate referral data, efficiently and appropriately handling phone calls, and serving as an information resource for applicable services, including contact information, coverage criteria, service availability, and alternatives when appropriate.
  • Perform office duties, including filing, maintaining the whiteboard, coordinating orders for office and par-level supplies, and assisting with other office procedures as needed.
  • Function as a department timekeeper.
  • Update patient chart records with necessary referral information, flag and fax appropriate medical records, and contact transition coordinators with updated insurance authorization information.
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