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Healthcare Referral Specialist

1 month ago

Anaheim, United States American Family Care Full time
Job Title: Referral Coordinator

The Referral Coordinator plays a vital role in ensuring seamless healthcare services for our patients. As a key member of our team, you will be responsible for coordinating referrals, managing health information, and providing exceptional customer service.

Key Responsibilities:
  • Standardize and maintain accurate referral policies and workflows.
  • Prioritize and track referrals, addressing them in a timely manner.
  • Participate in the selection, orientation, and training of referral personnel.
  • Ensure complete demographic, insurance, and clinical information is sent to referred specialists.
  • Contact insurance companies to verify prior approval requirements and present necessary medical information.
  • Review referral details and expectations with ordering providers and patients, requesting new referrals when necessary.
  • Develop and implement systems as required by EMR functionality and/or regulatory agencies.
  • Identify and utilize community resources, establishing relationships with servicing providers and personnel.
  • Serve as a point of contact for patients and specialists, addressing questions and concerns, and assisting with problem-solving.
Requirements:
  • Experience with referrals in healthcare is preferred.
  • Experience with Electronic Health Records is required.
  • Proficient knowledge of insurance policies, CPT, and ICD-10.
  • Computer literacy and proficiency in MS Office.
  • Excellent critical thinking and decision-making skills.
  • Strong customer service skills, professional attitude, clerical expertise, IT competence, and strong organizational skills.
Compensation:

$22.00 per hour

American Family Care is a leading provider of urgent care, accessible primary care, and occupational medicine. We are committed to providing the best healthcare possible in a kind and caring environment. If you are looking for a rewarding career where you can make a difference in the lives of others, we invite you to join our team.