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Healthcare Referral Coordinator
2 months ago
Position Summary
The Mid-State Health Center is dedicated to delivering comprehensive primary care to the community, ensuring accessibility for all individuals, irrespective of their financial situation.
Key Responsibilities:
As a Referral Representative, you will support the Referral Coordinator in managing insurance authorizations for referrals and medical orders. Your role will encompass various daily operations within the patient services department, including:
- Answering incoming calls and assisting with patient check-in and check-out processes.
- Facilitating the completion of pre-certifications for radiology and behavioral health appointments.
- Initiating appeals and managing insurance referrals.
- Coordinating and scheduling patient appointments, including those for referrals.
- Documenting and tracking all referral activities.
- Assisting with authorizations for Veteran's Affairs and cross-border referrals.
- Providing exceptional customer service and ensuring accurate task completion.
- Traveling between office locations as required.
- Collaborating effectively with team members and performing clerical duties as needed.
- Verifying patient information and maintaining accurate medical records.
- Addressing patient inquiries regarding appointments and follow-up care.
- Ensuring proper scheduling and confirmation of patient appointments.
- Complying with HIPAA regulations to protect patient privacy and security.
- Greeting and registering patients in a friendly and efficient manner.
- Completing necessary administrative paperwork, including medical releases and HIPAA forms.
- Overseeing the waiting area and coordinating patient flow.
- Assisting with office tasks such as photocopying and data entry.
- Balancing collected payments and maintaining a tidy waiting area.
- Participating in required meetings and performing additional duties as assigned.
Qualifications:
Education: High school diploma or GED is required.
Experience: A minimum of one year in a customer service role, with at least six months in a healthcare setting preferred. Familiarity with medical terminology and office equipment is essential.
Skills and Abilities:
- Ability to organize, delegate, and supervise tasks effectively.
- Evaluate and improve existing processes.
- Proficient in operating office equipment and software.
- Strong communication skills, both verbal and written.
- Ability to prioritize multiple tasks and requests.
- Effective interaction with diverse populations.
- Proficient in Microsoft Office applications and basic financial skills.
Physical and Environmental Demands:
Work is primarily conducted in an office setting, requiring frequent communication with patients. The role may involve physical tasks such as lifting items up to 50 pounds and extended periods of sitting.
Benefits:
Mid-State Health Center offers a comprehensive benefits package, including health, dental, and vision insurance, tuition reimbursement, life insurance, retirement plans, and paid time off.
