Centralized Referrals Coordinator
1 week ago
Position Overview:
The Centralized Referrals Coordinator is responsible for overseeing the daily scheduling operations for both inpatient and outpatient services. This role involves acquiring necessary referrals and pre-certifications to ensure seamless patient care.
Key Responsibilities:
- Manage the scheduling of inpatient and outpatient tests, procedures, and appointments as instructed by healthcare providers, ensuring detailed documentation in the medical records.
- Complete all necessary forms for referrals and pre-certifications with accuracy.
- Maintain knowledge of the requirements and guidelines set forth by various insurance plans, hospitals, and outpatient facilities.
- Keep precise logs of testing, referrals, and appointments, including follow-up verification in the referral tracking system.
- Possess familiarity with ICD-9 and CPT coding, along with basic computer proficiency.
- Coordinate the date, time, and location of procedures and appointments with patients, facilities, and providers.
- Effectively communicate appointment details and any special instructions regarding scheduled procedures to patients.
- Report any challenges encountered in obtaining referrals, pre-certifications, or appointments as directed by providers.
- Perform additional duties as assigned or requested.
- Attend required meetings and participate in committees as needed.
- Collaborate with patients, physicians, and other members of the care team to enhance overall patient care.
Qualifications:
Minimum Education:
No specific educational requirements; a combination of formal education and/or relevant work experience demonstrating the necessary knowledge, skills, and abilities is acceptable. Preference may be given to candidates with a high school diploma or GED.
Minimum Experience:
Previous experience in referrals and pre-certifications is preferred. A solid understanding of medical terminology is essential. A minimum of one year of medical experience, particularly in referrals and pre-certifications, is advantageous.
Licensure Requirement:
None required.
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