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Referral Coordinator

5 months ago

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

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