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Referral Coordinator

2 months ago

Beverly, United States capleo global Full time

**URGENT POSITION**
**Salary Range: $$39,520-45,760/annually (dependent upon experience)**
- **Has the option of being remote, hybrid, or in-office (Franklin, TN or Beverly, MA)**_

Shift Notes: May have to work 10a-630p EST as needed/ 40 hours per week/ M-F

The **Referral Coordinator **is responsible for all administrative processing regarding patient’s personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co-workers, possesses strong time management skills, and can complete assigned job duties with applicable supervisory direction, including exercising job-appropriate judgment.

Essential Functions

1. Processes new patient referrals through the internal Central Registration System (CRS), ensuring the accuracy of patient personal and insurance information.

2. Completes insurance benefit verifications via phone or online verification tools to confirm patient benefits, specific to the referred clinic, to determine acceptance to the clinic.

3. Works with clinic staff to ensure proper documentation for patient verifications is obtained.

4. Works with clinic staff to obtain patient and/or representative signatures on admission documentation as needed.

5. Acts as the first point of contact for patient’s benefit or network status questions. Escalates difficult conversations as necessary.

6. Ensures completeness and accuracy of patient accounts in the billing system, QMS.

7. Resolves billing rejections related to patient demographic information, including working with the patient and/or payer for resolution if necessary.

8. Educate patients on financial responsibility while traveling internationally and draft corresponding agreements for signature.

9. Initiates requests for authorization as needed based on insurance requirements and clinic network status.

10. Completes and maintains region and/or clinic-specific reports.

11. Ensures compliance with CMS coordination of benefits rules.

12. Ensures confidentiality of all data, including patient, employee, and operational data.

13. Adapts and is flexible when change arises, alternating between tasks as needed.

14. Stays current with department changes and updates and willingly learns new skills.

15. Handles patient information with discretion and sensitivity and maintains HIPAA compliance.

16. Understands and complies with Medicare rules and regulations, as well as applicable federal, state, agency, regional, and clinic rules and regulations.

17. Performs other tasks, duties, and projects as assigned.

SUBMISSION REQUIREMENTS
- **Bachelor's degree
- REQUIRED**:

- **2 years of experience in a similar administrative setting (referral coordinator/benefits coordinator/admissions coordinator)
- REQUIRED**

ABOUT THE FACILITY

**Why Choose American Renal Associates**:

- We offer starting salaries above the industry average, and we do not cap salaries.
- Our annual raises are significantly above the industry standard.
- We recognize your most recent dialysis experience in calculating your paid time off accrual allowing your transition to ARA to be easy without affecting valuable time off.

Equal Opportunity Employer: American Renal Associates LLC is an equal opportunity employer and a drug-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.

Pay: $39,520.00 - $45,760.00 per year

**Benefits**:

- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Weekly day range:

- Monday to Friday

**Education**:

- Bachelor's (required)

**Experience**:

- referral or benefits or admissions coordinator: 2 years (required)

License/Certification:

- Driver's License (preferred)
- Covid vaccination copy (preferred)

Work Location: Hybrid remote in Beverly, MA 01915

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