Referral Coordinator
1 week ago
InnovaCare Health is a dynamic physician-led healthcare provider pioneering change in value-based healthcare. We operate 40+ clinics with 1,100+ employees who share the mission, vision, and values that drive success in each of the communities we touch. Our goal isn't just healthcare; it's about promoting work-life balance and supporting the personal and professional goals of each employee to help them lead their best lives.
We are an organization strengthened by our diversity and inclusion. We strive to make an impact in the community through public health education, outreach, and our philanthropic endeavors that span beyond the doors of our facilities.
Job SummaryThis role is responsible for performing a wide range of administrative duties to include referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, communication with referral sources, and other tasks assigned.
Key Responsibilities- Maintains ongoing tracking and appropriate documentation on referrals to promote team awareness and ensure patient safety.
- Ensures complete and accurate registration, including patient demographic and current insurance information.
- Assembles information concerning patient's clinical background and referral needs.
- Contacts review organizations and insurance companies to ensure prior approval requirements are met.
- Reviews details and expectations about the referral with patients.
- Assists patients in problem-solving potential issues related to the healthcare system, financial or social barriers.
- System navigator and point of contact for patients and individuals who have consent and direct access to patient information.
- Identifies and utilizes cultural and community resources.
- Establishes and maintains relationships with identified service providers.
- Ensures that referrals are addressed promptly, all referrals should be processed by the end of 90 days from initiation.
- Reminds patients of scheduled appointments via mail, phone, or text.
- Processes requests for medical records release and maintains appropriate logs.
- High school diploma or GED equivalent.
- Strong customer service focus.
- Effective written and oral communication skills.
- Teamwork orientation.
- Organized and ability to manage competing priorities.
- Knowledge of medical terminology.
- Knowledge of ICD-10 and CPT coding.
- Expert in computer literacy in electronic health record.
- Ability to react calmly and effectively in emergency situations.
- Basic mathematical skills.
- Safe work practices in a clinic setting.
- Able to follow through with delegated tasks.
- At least 5 years in a medical-related customer service role.
- Bilingual in English/Spanish preferred but not required.
- Required immunizations and vaccinations.
- Ability to lift to 50 pounds.
- Ability to push or pull heavy objects using up to 100 pounds of force.
- Ability to stand or sit for extended periods of time.
- Ability to use fine motor skills to operate equipment and/or machinery.
- Ability to properly drive and operate a vehicle.
- Ability to receive and comprehend instructions verbally and/or in writing.
- Ability to use logical reasoning for simple and complex problem-solving.
- Occasionally requires exposure to communicable diseases or bodily fluids.
- Occasional travel for clinic activities may be required.
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