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Medical Referral Coordinator

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Muncie, Indiana, United States Indiana University Health Full time

Job Summary: We are seeking a skilled Medical Referral Coordinator to join our team at Indiana University Health. As a pivotal point of communication among physicians, patients, and insurance companies, you will play a critical role in ensuring the delivery of quality medical care in a cost-effective manner.

Key Responsibilities:

  • Collaborate with multidisciplinary teams to achieve desired clinical, service, and cost outcomes through effective utilization management and related duties.
  • Provide assistance in pre-certifying medical services and procedures, ensuring timely and full reimbursement from third-party payers.
  • Ensure that patients receive necessary authorization for treatment, expediting the receipt of reimbursement and reducing financial risk.
  • Offer valuable insights to inform clinical decision-making, promoting quality patient care and preventing costly payment denials.

Requirements:

  • High School diploma or equivalent required.
  • Minimum one-year medical office experience or a combination of extensive customer service work experience and education in insurance verification, patient registration, and medical terminology.
  • Working knowledge of payer billing requirements, regulations, and the third-party appeal and denial process.