Referral Coordination Specialist

2 weeks ago

South Portland, Maine, United States InterMed, P.A. Full time
Job Overview

POSITION SUMMARY

The Referral Coordination Specialist plays a crucial role in managing patient referrals within the healthcare system, ensuring seamless communication between patients, healthcare providers, and insurance companies.

KEY RESPONSIBILITIES

  • Facilitate the processing of referrals initiated by physicians to specialist or ancillary services based on patients' insurance plans.
  • Authenticate and manage insurance authorizations as necessary, utilizing relevant insurance platforms.
  • Organize, prioritize, and maintain patient referral records efficiently.
  • Collect pertinent information from healthcare facilities, patients, and insurance representatives.
  • Ensure that referrals and corresponding patient documentation are transmitted to the appropriate offices.
  • Respond to incoming calls and address patient inquiries promptly.
  • Follow up with specialist offices regarding referrals and confirm appointment scheduling.
  • Maintain effective communication with healthcare providers, patients, and insurance entities.
  • Adhere to strict confidentiality protocols in accordance with HIPAA regulations and InterMed policies.
  • Perform additional tasks to support the overarching mission and values of InterMed.

QUALIFICATIONS

  • High School Diploma or equivalent is required.
  • A minimum of 2 years of experience in a medical office setting is preferred.
  • Familiarity with healthcare plans and medical terminology is advantageous.
  • Experience in authorization intake is highly desirable.
  • Demonstrated organizational and analytical skills.
  • Ability to manage multiple tasks effectively.
  • Strong professional judgment and communication skills.
  • Proficient in computer applications and electronic medical records systems.
  • Capability to operate telephone systems proficiently.
  • Consistently meet performance and quality standards.
  • Maintain a professional appearance at all times.
  • Commit to InterMed's mission of delivering patient-centered care.
  • Strive to provide exceptional care that exceeds patient expectations.
  • Foster a positive environment, treating patients and colleagues with respect and dignity.
  • Uphold integrity and honesty in all professional interactions.
  • Encourage teamwork among physicians, staff, and patients.
  • Adapt to changes that enhance patient service.
  • Utilize business practices that emphasize accountability and collective responsibility.
  • Embrace a culture of enjoyment while fulfilling our mission to serve.

WORK SCHEDULE

Monday through Friday, 40 hours per week.

InterMed is committed to an inclusive workplace and prohibits discrimination or harassment of any kind. We are dedicated to recruiting, employing, training, compensating, and promoting without regard to race, religion, creed, color, national origin, age, gender, gender identity and/or expression, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state, or local law.

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