POSITION SUMMARY:
The
Referral Coordinator is responsible for the coordination, processing, and scheduling of medical referrals and prior authorizations for a variety of dermatologic and surgical services. This role supports clinic providers by ensuring referrals are completed efficiently and accurately while adhering to third-party payer requirements. The Referral Coordinator also assists with answering phones, handling appointment reschedules and recalls, and providing front desk support as needed. The ideal candidate is
highly organized, detail-oriented, self-motivated, and personable, with strong communication skills and the ability to manage a high volume of referrals across multiple providers and locations.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Referral Coordination & Scheduling-
Monitor referral requests throughout the day.
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Prepare and process all referral and prior authorization paperwork in a timely manner.
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Gather necessary patient and clinical information from the EMR or clinical team.
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Contact specialty clinics, insurance providers, and facilities to complete referral and pre-authorization requests.
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Utilize third-party payer/insurance portals and maintain detailed knowledge of insurance requirements for authorization approval.
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Call patients within 48 hours of the initial referral request to provide an update.
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Maintain and update electronic medical records (EMR) with all referral and authorization details.
Patient & Administrative Support-
Answer incoming calls and assist with patient inquiries regarding referrals, appointments, and authorizations.
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Manage appointment reschedules and recalls, ensuring timely follow-up for patients.
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Ensure all communication with patients and external offices adheres to HIPAA regulations.
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Work closely with providers, medical assistants, schedulers, and front desk staff to coordinate patient care efficiently.
Front Desk & Cross-Training-
Serve as backup for the front desk team, assisting with check-ins, check-outs, and administrative tasks when needed.
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Stay up to date on front desk policies and procedures to ensure seamless support when required.
Other Duties as Assigned-
Perform additional administrative or clerical tasks as required to support Tucson Dermatology’s operations.
Qualifications & Requirements:
Education & Experience:-
High school diploma or equivalent (required)
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Minimum 1-2 years of experience in a medical office, dermatology practice, or healthcare setting.
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Previous experience with medical referrals, prior authorizations, and insurance verification is highly desirable.
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Familiarity with CPT and ICD-10 coding is preferred.
Skills & Competencies:-
Strong organizational and time management skills with a high level of accuracy.
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Excellent verbal and written communication skills.
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Ability to prioritize workload and handle multiple tasks efficiently.
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Self-motivated and able to work independently while collaborating with a team.
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Proficiency in electronic medical records (EMR) and scheduling systems.
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Strong knowledge of insurance portals, third-party payers, and authorization requirements.
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Personable and professional demeanor with a commitment to outstanding patient care.
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