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Referral Coordinator
2 months ago
Job Summary:
This position is responsible for coordinating the entire referral process for a 35-physician practice. The Referral Coordinator will research and resolve problem referral claims or requests for payment, ensuring accurate coding and diagnosis for proper referral and coverage by insurance companies. The ideal candidate will have a clinical background and knowledge of various insurance plans and coverages to ensure proper payment. Additionally, the Referral Coordinator will be responsible for teaching nursing associates and physicians about changes in insurance plans and referral processes.
About CHRISTUS Health:
CHRISTUS Health is a Catholic health system with a mission to extend the healing ministry of Jesus Christ. Our organization is committed to delivering high-quality, patient-centered care to those in need. With a presence in six countries and a network of more than 350 facilities, CHRISTUS Health is a leading provider of healthcare services.
Responsibilities:
- Coordinate the referral process for a 35-physician practice, ensuring timely and accurate processing of referrals.
- Research and resolve problem referral claims or requests for payment, ensuring accurate coding and diagnosis for proper referral and coverage by insurance companies.
- Develop and maintain knowledge of various insurance plans and coverages to ensure proper payment.
- Teach nursing associates and physicians about changes in insurance plans and referral processes.
- Collaborate with healthcare teams to ensure seamless referral processes.
Requirements:
- High School Diploma or equivalent required.
- Minimum 3 years of experience in a healthcare setting, preferably in a referral-based clinic or physician's office.
- Expert knowledge of managed care benefit plans and insurance companies.
- Medical assistant certification from an approved technical school preferred.
Work Environment:
This position will work in a fast-paced healthcare environment, requiring strong communication and organizational skills. The ideal candidate will be able to work independently and as part of a team to ensure seamless referral processes.
Language:
This position requires fluency in English, with the ability to communicate effectively with patients, physicians, and insurance companies.
