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Referral Coordinator
3 months ago
Pain management office looking to add a Referral Coordinator to our team. Must be reliable and a team player. Referral coordinator is responsible for preparation and processing referrals according to health plan benefits and appropriate contracted provider. The referral coordinator identifies health plan and documents needed to assist next level of review. The position would also involve going online or calling for benefits, Health Plan policies or criteria for referrals received via EHR or via fax. Essential duties include providing excellent customer service/patient services via phone. Reports directly to Referral Manager.
**Referral coordinator duties duties includes the following**:
- Maintain ongoing tracking and appropriate documentation on referrals in eClinical Works to promote team awareness and ensure patient safety.
- Ensure complete and accurate registration, including patient demographic and current insurance information.
- Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
- Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
- Review details and expectations about the referral with patients.
- Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
- Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
- Ensure that referrals are addressed in a timely manner.
- Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.
- Other duties as assigned.
Pay: $17.00 - $21.00 per hour
Expected hours: 40 per week M-TH
**Benefits**:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
**Education**:
- High school or equivalent (required)
**Experience**:
- Referral Coordinator: 2 years (preferred)
**Language**:
- English and Spanish (preferred)
Work Location: In person
Pay: $17.50 - $21.00 per hour
**Benefits**:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
**Experience**:
- Insurance verification: 1 year (preferred)
Ability to Relocate:
- Phoenix, AZ 85029: Relocate before starting work (preferred)
Work Location: In person
