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Referral Coordinator

2 months ago

Temecula, California, United States Rancho Family Medical Group Full time
Job Summary

The Referral Coordinator is a vital role within the Rancho Family Medical Group, responsible for ensuring seamless patient referrals and authorizations. This position requires exceptional communication skills, attention to detail, and the ability to work efficiently in a fast-paced environment.

Key Responsibilities
  • Verify patients' insurance eligibility and contact insurance companies as needed
  • Transfer and upload information from orders in the EMR to other applications accurately
  • Call and obtain notes from specialists, labs, and/or imaging pertaining to orders
  • Efficiently and accurately attach relevant information to authorizations
  • Work cooperatively with others, including patients, providers, support staff, and administration
  • Process daily task lists created by providers for HMO and PPO insurances
  • Contact patients with questions and approvals
  • Contact Independent Physician Associates (IPAs)
  • Order testing as needed to process referrals or send tasks to appropriate staff
  • Send medical records to offices to help process requests, as well as authorized copies to patients
  • Assist with scheduling patient appointments with outside providers
  • Troubleshoot and help find solutions for patients denied referrals
Requirements
  • High school graduate or equivalent
  • 1 year of experience in a medical office or hospital setting
  • Knowledge of medical terminology desired
  • Successful completion of a medical front office program or on-the-job training with an emphasis on customer service
  • Experience with Microsoft Office software
  • Experience with ICD-10 & CPT coding systems
Preferred Qualifications
  • Bilingual in Spanish
  • Basic knowledge of frequently ordered diagnostic testing
  • Dependability, adaptability, and confidentiality
  • Ability to work with clinical staff and handle direction from multiple providers
  • Ability to communicate well with IPAs and PPO insurances, providers, and staff
  • Customer service skills
  • Politeness, confidence, tact, patience, and diplomacy