Referral Coordinator
Posted 32ds ago
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Job Description
Referral Coordinator at InnovaCare managing referrals, patient registration, and insurance authorization. Ensuring patient safety and effective communication with referral sources in health care settings.
Responsibilities:
- Performs a wide range of administrative duties to include referral processing, patient registration.
- Verification of benefits and insurance authorizations.
- Patient appointment scheduling and communication with referral sources.
- Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
- Ensures complete and accurate registration, including patient demographic and current insurance information.
- Assembles information concerning patient's clinical background and referral needs.
- Provides appropriate clinical information to specialist based on referral guidelines.
- Contacts review organizations and insurance companies to ensure prior approval requirements are met.
- Presents necessary medical information such as history, diagnosis, and prognosis.
- Provides specific medical information to financial services as appropriate to process referral.
- Reviews details and expectations about the referral with patients.
- Assists patients in problem solving potential issues related to the health care system, financial or social barriers.
- Acts as a system navigator and point of contact for patients and individuals who have consent and direct access to patient information.
Requirements:
- High school diploma or GED equivalent.
- Strong customer service focus.
- Effective written and oral communication skills.
- Teamwork orientation.
- Organized and ability to manage competing priorities.
- Knowledge of medical terminology.
- Knowledge of ICD-10 and CPT coding.
- Expert in computer literacy in electronic health record.
- Ability to react calmly and effectively in emergency situations required.
- Basic mathematical skills.
- Safe work practices in a clinic setting.
- Able to follow through with delegated tasks.
- At least 5 years in a medical related customer service role preferred.
- Bilingual in English/Spanish preferred but not required.
Benefits:
- Required immunizations and vaccinations.
- Ability to lift to 50 pounds.
- Ability to push or pull heavy objects using up to 100 pounds of force.
- Ability to stand or sit for extended periods of time.
- Ability to use fine motor skills to operate equipment and/or machinery.
- Ability to properly drive and operate a vehicle.
- Occasional travel for clinic activities may be required (ex. InnovaCare meetings or training).
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