Referral Coordinator

4 weeks ago


Mansfield, United States Complete Cardiac & Vascular Care Full time
Job DescriptionJob Description

Qualifications

Prior experience as a Referral Coordinator utilizing EMR ( eCW).

Familiarity with medical terminology, coding (ICD-9, ICD-10), and managed care.

Proficient in using electronic medical records systems for managing referrals and medical records

Strong attention to detail and ability to multitask in a fast-paced environment

Excellent communication skills, both written and verbal

Ability to work collaboratively with a team of healthcare professionals

Ability to work well under pressure

Exceptional attention to detail

Good organizational skills

Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality

•Must have at least 3 years of experience.

Responsibilities

Coordinate and manage patient referrals within a Cardiology office setting.

Ensure timely and accurate processing of referral requests

Communicate with patients, providers, and insurance companies to gather necessary information for referrals

Verify insurance coverage and obtain authorizations for upcoming appointments

Maintain accurate and up-to-date referral records in electronic medical records system

Collaborate with other healthcare professionals to facilitate seamless patient care

Meet productivity authorization/verification requests 2 weeks prior to the scheduled appointment

Modifies CPT/ICD-10 Codes and extends authorizations as needed

Understand the CPT/ICD codes being submitted

Maintain an understanding of payer policies for procedures

Obtain benefits prior to patient visits prior to the appointment.

Contact patient and or referring provider when unable to verify insurance benefits

Follow HIPAA guidelines to protect patient privacy and confidentiality

•8 Hours shift 

Hours of Operation:

Monday: 8 a.m. – 5 p.m.
Tuesday: 8 a.m. – 5 p.m.
Wednesday: 8 a.m. – 5 p.m.
Thursday: 8 a.m. – 5 p.m.
Friday: 8 a.m. – 5 p.m.

Job Type: Full-time



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