Referral Coordinator

Job Summary
We are seeking a dynamic and detail-oriented Referral Coordinator to join our 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 proactive approach will help streamline referral processes, improve patient care coordination, and enhance overall operational efficiency. If you thrive in a fast-paced environment and are passionate about facilitating quality healthcare delivery, this opportunity is perfect for you!

Duties

• Coordinate and process patient referrals across various medical specialties, ensuring timely and accurate submission.
• Verify insurance coverage and benefits through insurance verification procedures to confirm patient eligibility and referral approval.
• Maintain comprehensive medical records related to referrals, including documentation of authorization, correspondence, and follow-up notes.
• Collaborate with healthcare providers, insurance companies, and patients to resolve any issues or delays in the referral process.
• Ensure compliance with HIPAA regulations by safeguarding patient information during all stages of referral handling.
• Utilize medical coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10 (International Classification of Diseases), and ICD coding to accurately document diagnoses and procedures.
• Manage appointment scheduling and coordinate follow-up care as needed to support patient treatment plans.

Skills

• Strong knowledge of managed care processes and insurance verification protocols.
• Obtain Prior Authorizations as needed
• Experience working in a medical office environment with familiarity in medical terminology.
• Proficiency in handling medical records, medical coding (CPT, ICD-9/10), and understanding of HIPAA compliance standards.
• Excellent organizational skills with the ability to multitask efficiently in a busy setting.
• Effective communication skills for liaising with providers, insurance representatives, and patients.
• Office experience with familiarity using electronic health records (EHR) systems or similar platforms.
• Knowledge of medical billing procedures and experience with medical office administrative tasks is highly desirable. Join us in making a meaningful difference by ensuring smooth referral workflows that support exceptional patient care! We value energetic professionals who are eager to contribute their skills in a collaborative environment dedicated to health excellence.

Pay: $20.00 - $24.00 per hour

Work Location: In person