Referral Coordinator
4 weeks ago
Qualifications
Prior experience as a Referral Coordinator utilizing EMR ( eCW).
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Familiarity with medical terminology, coding (ICD-9, ICD-10), and managed care.
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Proficient in using electronic medical records systems for managing referrals and medical records
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Strong attention to detail and ability to multitask in a fast-paced environment
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Excellent communication skills, both written and verbal
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Ability to work collaboratively with a team of healthcare professionals
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Ability to work well under pressure
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Exceptional attention to detail
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Good organizational skills
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Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality
•Must have at least 3 years of experience.
Responsibilities
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Coordinate and manage patient referrals within a Cardiology office setting.
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Ensure timely and accurate processing of referral requests
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Communicate with patients, providers, and insurance companies to gather necessary information for referrals
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Verify insurance coverage and obtain authorizations for upcoming appointments
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Maintain accurate and up-to-date referral records in electronic medical records system
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Collaborate with other healthcare professionals to facilitate seamless patient care
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Meet productivity authorization/verification requests 2 weeks prior to the scheduled appointment
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Modifies CPT/ICD-10 Codes and extends authorizations as needed
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Understand the CPT/ICD codes being submitted
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Maintain an understanding of payer policies for procedures
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Obtain benefits prior to patient visits prior to the appointment.
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Contact patient and or referring provider when unable to verify insurance benefits
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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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