Referral Coordinator

4 days ago


Temecula, California, United States Rancho Health MSO Full time
Job Summary:

The Referral Coordinator is a vital role within Rancho Health MSO, responsible for ensuring patients receive efficient and timely referrals. This position requires strong communication skills, attention to detail, and the ability to work effectively with multiple stakeholders.

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 (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 preferred
  • Basic knowledge of frequently ordered diagnostic testing preferred
  • Duties require professional verbal and written communication skills
  • Understanding of principles and practices of the organization, planning, records management, and general administration
About Rancho Health MSO:

Rancho Health MSO is a dynamic and patient-centered organization dedicated to providing high-quality healthcare services. We are committed to fostering a collaborative and supportive work environment that values diversity, equity, and inclusion.



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