Referral Coordinator

Job Summary
We are seeking a proactive and detail-oriented Referral Coordinator to join our dynamic healthcare team. In this vital role, you will serve as the primary point of contact for managing patient referrals, ensuring seamless communication between providers, insurance companies, and patients. Your expertise will help facilitate efficient care coordination, verify insurance details, and maintain accurate medical records. This position offers an exciting opportunity to contribute to improved patient outcomes while working in a fast-paced, collaborative environment dedicated to excellence in healthcare delivery.

Duties

• Coordinate and process patient referrals across various medical specialties and services, ensuring timely and accurate submissions.
• Verify insurance coverage and benefits through managed care systems, including insurance verification and eligibility checks.
• Maintain comprehensive medical records, ensuring compliance with HIPAA regulations to protect patient confidentiality.
• Utilize medical terminology, CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding to accurately document diagnoses and procedures.
• Communicate effectively with patients, providers, and insurance representatives to resolve referral issues or discrepancies promptly.
• Manage incoming and outgoing medical records requests, ensuring proper documentation and secure handling of sensitive information.
• Support office operations by assisting with appointment scheduling, data entry, and maintaining organized filing systems related to referrals and medical documentation.

Skills

• Strong knowledge of managed care processes and insurance verification procedures.
• Proven experience in a medical office setting, preferably with dental or outpatient clinics.
• Familiarity with HIPAA regulations to ensure patient privacy and data security.
• Proficiency in medical terminology, CPT coding, ICD-9, ICD-10 coding, and medical records management.
• Excellent communication skills for liaising with patients, healthcare providers, and insurance companies.
• Ability to navigate electronic health records (EHR) systems efficiently.
• Office experience that demonstrates organizational skills and attention to detail in a fast-paced environment. Join us as a Referral Coordinator and be part of a dedicated team committed to delivering exceptional healthcare coordination! Your expertise will help streamline processes, improve patient experiences, and support our mission of providing accessible quality care through effective communication and meticulous record management.

Pay: $15.00 - $16.00 per hour

Work Location: In person