Medical Referral Coordinator

2 weeks ago

Sacramento, California, United States Pediatrix Full time

Overview:

Perinatal Associates of Sacramento

Monday-Friday 8-5

No weekends

Responsibilities:


The
Patient Service Associate is responsible to ensure smooth clinic, patient and billing flow by greeting and directing patients to their various appointments, preparing the daily clinic schedule and updating the physicians' schedules, maintaining patient files and records, interfacing with the different corporate departments and by receiving and directly patient questions to appropriate people.

Works as a team member to facilitate patient care and optimize the revenue.

  • Responsible for incoming EFAX referrals.
  • Write up, log, track, and prepare referrals for provider to triage.
  • High volume monthly referrals (Average 600 new patient referrals)
  • Handle high volume incoming calls.
  • Review the charts and insurance referrals/authorizations and taking appropriate action to assure proper maximal reimbursement.
  • To assist the physicians and/or administrators in all business and patient care responsibilities.
  • Coordinates office communication flow.
  • Communicates effectively and courteously with and demonstrates a caring attitude toward patients and their families.
  • Greet, direct and assist large numbers of visitors and refers visitors to various areas.
  • Ensure all patient demographic and insurance information.
  • Answer telephones using correct telephone etiquette at all times, recording legible and complete messages, handling questions, transferring incoming calls appropriately, contacting physicians, insurance companies, hospitals, diagnostic facilities, billing departments, etcas necessary.
  • Review patient intake information to verify insurance coverage.
  • Verify patient insurance information, call for insurance authorization, patient address, telephone, etc.
  • Responsible for scheduling new and follow up appointments including patient testing.
  • Acts in a nondirective, nonjudgmental manner, recognizing an individual's religious, ethical and moral opinions and beliefs.
  • Brings new ideas, positive attitude and lots of energy.
  • Responsible for maintaining and recording patient schedule.
  • Identify and collect copays, deductibles and other payments.
  • Reconcile patient payments on a daily basis received to cash box and receipt journal.
  • Prepare billing sheets.
  • Review all billings sheets to ensure they contain necessary information needed to create a claim such as physician name and number, patient name and number, insurance code, referring physician and code, etc
  • Direct billing inquiries to appropriate Regional Office.
  • Ensure the clinical staff submits all outpatient billing sheets daily.
  • Maintains patient confidentiality.

Qualifications:

  • High School diploma or equivalent required.
  • Three years recent experience in a related position in a medical office experience preferred.
  • Ability to prioritize jobs duties and meet deadlines.
  • Ability to effectively work on many tasks at one time.
  • Have superior customer service and verbal and written communication skills.
  • Strong computer knowledge; experience preferred.
  • Knowledge of common safety hazards and precautions to establish a safe work environment.
  • Knowledge of medical terminology, obstetrical and/or perinatal coding, office billing forms, insurance and government payer regulations and other third party billing requirements preferred.
  • Must be able to work cooperatively in a team environment.
  • Ability to handle stressful situations.
  • Excellent organizational, time management, and attention to detail capabilities.
  • Must be able to travel to satellite office during the week. Mileage is reimbursable.

Benefits and Compensation:

Benefits for Full Time employee and qualified dependents:

  • Health Insurance including prescription drugs
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • Short
- and Long-Term disability options

  • Employee stock purchase program 15% discount* 401k with company match**:
  • Long Term Care (LTC)
  • Pretax Health Savings Account (HSA)
  • Pretax Flexible Spending Accounts (FSA)
  • Aflac Hospital, Critical Illness and Accident plans
  • Identity Protection
  • Employee Assistance Program (EAP)
  • Part Time Regular employee classifications also receive this benefit.
  • Available to part-time regular and part-time casual employees age 21 and over.

The expected pay for the position ranges from $ $30.05 per hour. The actual pay range will be computed based on years of relevant experience.

About Us:
Pediatrix Medical Group, Inc. (Pediatrix) is the nation's leading provider of physician services.

Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices.

Specialties include obstetrics, maternal-fetal medicine and neonatology complemented by more than 20 pediatric subspecialties, as well as pediatric primary

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