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Referrals Coordinator

2 months ago

Henderson, United States ReliantHealth Primary & Wellness Care Full time
Job DescriptionJob Description

Referrals Coordinator---Referrals, Authorizations, and Medical Records

Are you an organized and detail-oriented individual looking for a challenging and rewarding position in the healthcare industry?

We seek a referral coordinator to join our team in our Las Vegas and Henderson clinics.

Duties and Responsibilities include but are not limited to:

  • Coordinate and manage patient referrals from primary care providers to specialists.
  • Submit pre-authorizations and pre-certification of visits, tests, and/or procedures ordered by the providers of our clinics.
  • Collect and verify patient information, including medical history and insurance details.
  • Communicate with patients, physicians, and insurance companies to ensure a smooth referral process.
  • If needed schedule appointments and follow up with patients to ensure they receive necessary care promptly.
  • Maintain accurate and up-to-date medical records and related documentation.
  • Collaborate with other healthcare professionals to ensure seamless coordination of care.
  • Stay updated on insurance requirements and referral guidelines to ensure compliance.
  • Provide excellent customer service to patients and answer any questions or concerns they may have.
  • Provide clinicians with patient details regarding the referral process.
  • Communicate with the clinics and facilities to which the patients are being referred to.
  • Hold weekly meetings with the Chief Medical Officer and Clinical Director.

Requirements and Qualifications:

  • High school diploma or equivalent required, associate or bachelor's degree preferred
  • Previous experience in a healthcare setting, preferably in referral coordination or a related role.
  • Strong organizational and multitasking skills
  • Excellent communication and interpersonal skills
  • Proficient computer skills, including experience with electronic health records (EHR) and medical scheduling systems
  • Ability to work independently and as part of a team
  • Attention to detail and accuracy
  • Knowledge of clinical terminology, insurance, diagnosis coding, HIPAA privacy standards, and requirements regarding patient confidentiality.
  • Seasoned in insurances like HPN, Aetna, and their respective portals e.i.Availity, Parachute for DMEs
  • Accurate typing and data entry skills.
  • Microsoft applications proficiency.
  • Superb customer service skills.
  • Bilingual is preferred, but not required.

***This is a full-time position with a competitive compensation and benefits package. ****

The ideal candidate should possess:

  • Multi-tasking skills in a fast-paced environment.
  • Be detail-oriented, organized, reliable, and have excellent customer service skills.
  • Those who are customer service-focused will thrive in this job position.

If you are a motivated and dedicated individual with a passion for healthcare and helping others, we would love to hear from you.

Apply now to join our team as a Referral Coordinator

 

Company DescriptionReliantHealth is a growing inpatient-outpatient full spectrum medical group that has three growing clinics that serve our recently discharged patients, as well as our expanding pool of patients requiring primary and preventive care. Wellness and Prevention are cornerstones of our practice philosophy, and we welcome forward-thinking team members who put patients first and focus on holistic care of the entire patient and not just symptoms. There is a large support staff of clinical and administrative professionals ready to help you grow your career as well.Company DescriptionReliantHealth is a growing inpatient-outpatient full spectrum medical group that has three growing clinics that serve our recently discharged patients, as well as our expanding pool of patients requiring primary and preventive care. Wellness and Prevention are cornerstones of our practice philosophy, and we welcome forward-thinking team members who put patients first and focus on holistic care of the entire patient and not just symptoms. There is a large support staff of clinical and administrative professionals ready to help you grow your career as well.