Referral Coordinator
The Referral Coordinator is responsible for the processing, follow-up and communication to patients for referrals and/or procedure orders that are generated by the providers. This position will initiate the authorization for patient services. This position is responsible for knowledge of insurance coverages, documentation of authorizations, and communicating the status of authorizations to the practice staff.
The person in this position works under general supervision.
Completes registration and obtains insurance authorization for new patients, diagnostic testing and for hospital admissions.
Ensures financial information and insurance has been verified.
Updates patient insurance information in billing systems as needed.
Initiates the referral and authorization process for all services and visits.
Works closely with nursing and medical staff to facilitate optimal patient care.
Communicates with the scheduling department to verify each patient’s insurance requirements have been satisfied for upcoming appointments.
Coordinates with other departments as needed to facilitate patient’s visit.
Provides patient with referral information for other physicians and facilities.
Communicates effectively with all internal and external customers – PCP, Patient, clinical departments, etc. in order to obtain the required authorization needed for each service.
Qualifications
- High School Diploma or General Education Degree.
- One year of experience one year authorization/verification experience preferred.
- Strong and solid understanding of insurance plans including Medicare replacement plans.
- Experience using Availity, Navinet and authorization processing sites strongly preferred.
- Ability to provide excellent customer service and Superior ability to handle multiple tasks with a smile.
- Be able to make recommendations and handle complaints and requests in a professional and calm manner.
- Ability to handle high volume of service while providing an excellent experience to physicians, co-workers, and patients.
- Proven organizational skills
- Understanding of Cardiology related terminology helpful.
Job Type: Full-time
Job Type: Full-time
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Application Question(s):
- What is your desired salary?
Experience:
- Authorization: 1 year (Preferred)
- Athenahealth: 1 year (Preferred)
Work Location: In person
