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 patients. This position is responsible for coordinating referrals, managing health information, and collaborating with various departments to provide excellent patient care.

Key Responsibilities:
  • Standardize and maintain accurate referral policies and workflows.
  • Prioritize and track referrals based on urgency and ensure timely resolution.
  • Participate in the selection, orientation, and training of referral personnel.
  • Ensure complete demographic, insurance, and clinical information is sent to referred specialists.
  • Communicate with insurance companies to verify prior approval requirements and present necessary medical information.
  • Review referral details and expectations with ordering providers and patients, and request new referrals when necessary.
  • Develop and implement systems to meet EMR functionality and regulatory requirements.
  • Identify and utilize community resources, establish relationships with servicing providers, and serve as a point of contact for patients and specialists.
Requirements:
  • Experience with referrals in healthcare is preferred.
  • Experience with Electronic Health Records is required.
  • Proficient knowledge of insurance policies, CPT, and ICD-10 codes.
  • 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 prioritize patient-centric healthcare and offer a comprehensive benefits package to our employees.



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