Insurance referral coordinator

**Please read before applying**

Any CV without related experience will be rejected immediately

Night shift ONLY

ONSITE

Job description

The Insurance Referral Coordinator is responsible for efficiently managing the patient referral process, from submission to approval and follow-up, ensuring all necessary insurance authorizations are secured promptly. This role requires strong organizational skills, meticulous attention to detail, and excellent communication abilities to coordinate between patients, providers, and insurance carriers.

Essential Functions for the position

• Process Insurance Referrals: Submit, track, and manage patient referrals and authorization requests with insurance companies via phone calls and online portals, ensuring compliance with payer guidelines.
• Verify Insurance Eligibility and Benefits: Accurately confirm patient coverage, referral requirements, and authorization criteria/protocols (e.g., deductible, co-pay, maximum benefits) before scheduling appointments or procedures, utilizing both phone verification and online portals.
• Communicate With Providers and Patients: Serve as the primary liaison between referring physicians, specialists, and patients, providing timely updates regarding referral status, required documentation, and coordinating/confirming appointment scheduling.
• Maintain Accurate Documentation: Ensure meticulous and up-to-date patient records, referral logs, and authorization details are entered and maintained in the Electronic Health Records (EHR) and other relevant systems.
• Follow Up on Pending Requests: Proactively monitor outstanding referrals and pending insurance approvals, addressing any hurdles or delays to expedite the authorization process and prevent interruptions to patient care.
• Troubleshoot Issues: Resolve issues related to denied referrals or complex authorization requirements by engaging with insurance representatives and clinical staff.

Competencies

• Detailed Oriented
• Ability to read doctor´s note
• Excellent communication skills
• Active Listening
• Multitasking
• Strong analytical and problem-solving skills
• Excellent written and verbal communication skills
• Maintain professional demeanor
• Intuitive and resourceful

Educational & Experience Requirements

• 1-2 years of relevant experience in Verifications, insurance and/or PA.
• High school diploma or equivalent

Job Type: Full-time

Pay: Rs80,000.00 - Rs110,000.00 per month

Application Question(s):

• Do you live in Lahore?
• Are you willing to work night shifts (onsite)?
• Do you agree with the salary offer?

Work Location: In person