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Referral Coordinator

1 month ago

Beverly Hills, California, United States ThreePDS Inc. Full time
About the Role:

The Referral Coordinator is a key member of our team, responsible for ensuring the smooth administrative processing of patient referrals. This involves working closely with internal and external stakeholders to verify patient information, process referrals, and resolve any issues that may arise.

This role requires strong organizational and communication skills, as well as the ability to work independently and as part of a team. The successful candidate will be able to prioritize tasks effectively, manage multiple projects simultaneously, and maintain accurate records.

Key Responsibilities:
  • Process new patient referrals through our Central Registration System (CRS), ensuring accuracy and completeness of patient information.
  • Verify patient benefits and confirm acceptance to the clinic through phone or online verification tools.
  • Work with clinic staff to obtain necessary documentation and signatures from patients and representatives.
  • Act as the first point of contact for patient benefit or network status questions, escalating difficult conversations as necessary.
  • Ensure completeness and accuracy of patient accounts in our billing system, QMS.
  • Resolve billing rejections related to patient demographic information, working with patients and payers as needed.
  • Educate patients on financial responsibility and draft corresponding agreements for signature.
  • Initiate requests for authorization as needed, based on insurance requirements and clinic network status.
  • Complete and maintain region and/or clinic specific reports.
  • Ensure compliance with CMS coordination of benefits rules and maintain confidentiality of all data.
Requirements:
  • Bachelor's degree required.
  • 2 years of experience in a similar administrative setting, such as referral coordinator, benefits coordinator, or admissions coordinator.
About the Facility:

We are a leading provider of dialysis services, committed to delivering high-quality patient care. Our team is dedicated to making a positive impact on the lives of our patients and their families.

We offer competitive salaries, annual raises, and a comprehensive benefits package. Our company culture values teamwork, innovation, and continuous learning, and we are committed to supporting the growth and development of our employees.