Referral Coordinator

3 weeks ago

Phoenix, Arizona, United States Heart One Associates Full-time

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Position Summary: The referral coordinator is responsible for referral operations at assigned clinics, establishing and standardizing systems and procedures for the distribution and use of health information throughout the organization, coordinating and referral functions with all other departments.

Comprehensive Benefits Package:

· Medical Insurance – portion paid by employer

· Vision Insurance

· Dental Insurance

· Paid Time Off

· Paid Holidays

· Paid Sick

· Competitive Wages

· Education Reimbursement

· Opportunities for Advancement

· 401(k) Employer Match

• Scheduling appointments with patients, physicians, and other medical staff members and insurance portals. • Coordinating with insurance companies to verify eligibility, coverage criteria, and benefits. • Coordinated referrals and completed patient assessments • Coordinated and provided in-services for referral sources

Job Responsibilities & Duties:

Scheduling appointments with patients, physicians, and other medical staff members and insurance portals.
Coordinating with insurance companies to verify eligibility, coverage criteria, and benefits.
Coordinated referrals and completed patient assessments
Coordinated and provided in-services for referral sources
Expediting patient referrals to specialty offices
Completing referral requests as needed
Faxing and sending medical records to our various departments for processing
Monitored outside relationships with other facilities and other public relations activities

· Records timely in EHR per the corporation’s policy and procedure in a timely manner

· Obtains clinical information required to request prior authorizations

· Create patient charts in ECW and enter all information

· Generate specialty referrals for members as requested by primary care physicians

· Call to schedule all incoming referrals via fax inbox and physician portals

· Maintain accurate insurances and office information in physician portals

· Consult with other department regarding referral needs, insurance verification and eligibility

· Maintain timely responses to referral requests

These duties are not exclusive and with consideration of the job requirements and employee skills, this job description can be added to or taken away from the discretion of the employee’s immediate supervisor.

Strong customer service background preferred.
Education High School diploma.
Minimum of two years’ experience of pre-authorization or insurance verification with demonstrated knowledge of health insurance plans including: Medicare, Medicaid, HMO’s, and PPO's required.

Dress Code: Black scrubs and closed toe shoes are required for this position or business casual

Educated on and compliant with HIPAA regulations; maintains strict confidentiality or client information.
Ability to work effectively within role independently and with other team members.
Ability to organize and complete work in a timely manner.
Ability to understand medical/surgical terminology.
Proficiency with Windows, Microsoft Office (Word, Excel, Outlook, PowerPoint, Internet Explorer).
Ability to receive instructions.

Referral Coordinator

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Referral Coordinator

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