Referral Coordinator

7 days ago


Westwood, Massachusetts, United States IASIS Healthcare Full time
Job Summary

We are seeking a highly skilled Referral Coordinator to join our team at IASIS Healthcare. As a Referral Coordinator, you will play a critical role in ensuring seamless communication between patients, physicians, and healthcare providers.

Key Responsibilities
  • Process referrals and prior authorizations for patients, ensuring timely and accurate communication with healthcare providers.
  • Verify patient eligibility and coverage, and obtain necessary authorizations from insurance plans.
  • Collaborate with Medical Directors and Managers to process referrals and ensure compliance with regulatory requirements.
  • Communicate plan dispositions to members and PCP offices, and confirm appointments and referrals with physician practices and consumers.
  • Assure that all necessary documentation occurs in a timely manner, and achieve established performance targets.
Requirements
  • Associate degree or equivalent amount of education and experience; Bachelor's degree preferred.
  • At least 2-4 years' experience in a healthcare-related field, with medical office experience strongly preferred.
  • Fluency in a foreign language desirable, particularly Spanish, Russian, Portuguese, Haitian Creole, or Vietnamese.
  • Exceptional customer service skills, with strong communication and interpersonal skills.
  • Ability to meet deadlines in a high-pressure environment, with knowledge of managed care concepts and medical terminology.
What We Offer

We offer a dynamic and supportive work environment, with opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity.



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