Referrals Coordinator

Referrals Coordinator

Job Summary

The Patient Access/Referrals Coordinator is responsible for handling activities related to orders, referrals and authorizations. Assists with projects and assignments directly related to patient access and the revenue cycle. Works collaboratively as a team member for the smooth flow of operations of the clinic.

Essential Duties

• Process orders and referrals received; obtain, document and verify referral, pre-authorization, or pre-certification information to ensure financial reimbursement for services rendered.
• Advise patients of estimated costs and patient liability such as deductible, co-pay or deposits required. Contact self-pay patients to make payment arrangements or discuss charity options; may assist with Medicaid application process – may refer to District Financial Counselor.
• Verify insurance benefits eligibility using system, web-based and telephone resources.
• Schedule or coordinate scheduling of procedures for multiple departments; communicate issues with ordering physician staff as needed.
• Provide support for the department by participating in special projects and assignments as needed.
• Other duties as assigned.

Qualification Requirements

Education and License

• High School Diploma or equivalent, required.

Certifications

None required.

Experience

• Minimum of one (1) year directly transferable experience in a medical office setting utilizing data entry skills, insurance websites, and various software applications.
• Experience utilizing ICD-10 and CPT Coding required.
• Experience working in a medical office or scheduling Center.

Additional Qualifications

• Must demonstrate an ability to work with various office machines and equipment such as computers, printers, copying machines, multi-line telephones, paging systems and fax machines.
• Knowledgeable in pre-authorization procedures and reimbursement denial follow up.
• Excellent clerical skills including computer terminal knowledge and correct spelling and grammar.
• Medical terminology.
• Strong organizational and multi-tasking skills working under pressure in a high-volume environment.
• Must have excellent interpersonal communication skills and public relation skills.
• Must have appropriate manner, conduct and grooming for a business office setting.
• Must be capable of working under pressure with continuous telephone calls, projecting a friendly and professional image.
• Must have the ability to hold in confidence any information regarding patients, personnel, or any other matters which are confidential in nature.
• High level of understanding related to medical terminology and anatomy.
• Must be able to accurately type a minimum of 40 wpm.

Work Environment

Works indoors in an air-conditioned environment.

Physical Demands

Frequent use of computer and phone, and other standard office machines. Must be able to stand, sit, stoop, twist, kneel, reach, push, pull using proper body mechanics and move/lift varying amounts of weight to a maximum of 50 lbs.

This is a Full-Time position that is eligible for benefits.

Benefits

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Shift Availability

• Day Shift

Work Location

In person