Referral Management Specialist
2 weeks ago
The Referral Coordinator plays a crucial role in ensuring a seamless process for patient referrals within the healthcare system. This position involves various responsibilities aimed at enhancing patient care and operational efficiency.
Key Responsibilities:- Maintain comprehensive tracking and documentation of patient referrals to foster team collaboration and ensure safety.
- Verify and update patient registration details, including demographics and insurance coverage.
- Input and manage referral data within the electronic health record system as necessary.
- Gather pertinent information regarding the patient's medical history and referral requirements.
- Communicate with insurance providers and review organizations to confirm prior authorization protocols are fulfilled.
- Provide essential medical details such as patient history, diagnosis, and prognosis.
- Collaborate with financial services to ensure optimal reimbursement for healthcare services rendered.
- Discuss referral details and expectations with patients to enhance understanding.
- Assist patients in navigating potential challenges related to healthcare access, including financial or social barriers.
- Identify and leverage community resources, establishing connections with relevant service providers.
- Ensure timely processing of referrals to maintain patient flow.
- Keep the primary care chart updated with information regarding specialist consultations, hospital admissions, and emergency visits.
- Perform additional duties as required.
- Strong verbal and written communication abilities.
- Exceptional customer service orientation.
- Excellent organizational skills with a keen attention to detail.
- Proficiency in Microsoft Office Suite or similar software.
- Bilingual proficiency in English and Spanish is preferred.
- A high school diploma or equivalent is mandatory. A minimum of one year of experience in referral management or a related medical office role is required.
- Familiarity with electronic medical record (EMR) systems is advantageous.
- Ability to sit for extended periods while working on a computer.
- Capability to lift items weighing up to 10 pounds occasionally.
Work Environment: This position is not remote and requires in-person attendance.
Job Type: Full-time
Compensation: Starting pay is $21.00 per hour, commensurate with experience.
Benefits Offered:- Health, dental, and vision insurance
- Disability and life insurance
- 401(k) retirement plan
- Employee assistance program
- Flexible spending account
- Paid time off
- 8-hour shifts
- Daytime hours, Monday through Friday
Education Requirement: High school diploma or equivalent (Required)
Experience Requirement: Minimum of 1 year in referrals and health insurance verification (Required)
Palm Medical Centers is an equal opportunity employer committed to fostering diversity and inclusion in the workplace. We prohibit discrimination and harassment based on any protected characteristic as outlined by applicable laws.
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