Job Overview
We are seeking a dynamic and detail-oriented Referral Coordinator/Patient Service Representative to join our healthcare team. In this vital role, you will serve as the primary point of contact for patients, healthcare providers, and insurance companies, ensuring seamless coordination of referrals and patient services. Your energetic approach will help facilitate efficient communication, manage medical records, and uphold the highest standards of confidentiality and customer service. This position offers an exciting opportunity to contribute to patient care excellence while working in a fast-paced, supportive environment.
Duties
- Coordinate and process patient referrals by verifying insurance coverage, obtaining necessary authorizations, and ensuring timely communication between providers and patients
- Manage electronic health records (EHR) systems to accurately document patient information, referral details, and medical records in compliance with HIPAA and clinical confidentiality policies
- Verify insurance eligibility, benefits, and prior authorization requirements using health insurance policies and managed care guidelines
- Assist patients with appointment scheduling, answering inquiries related to insurance coverage, billing procedures, and medical terminology
- Collaborate with healthcare providers to ensure accurate CPT coding (Current Procedural Terminology), ICD-9/ICD-10 (International Classification of Diseases) codes, and proper documentation for billing purposes
- Maintain thorough knowledge of medical office procedures, medical coding standards, and health insurance policies to support efficient operations
- Support the medical office team by managing incoming calls, updating patient information in EMR/EHR systems, and ensuring compliance with all clinical confidentiality policies
Requirements
- Proven experience in a medical office setting or as a Patient Service Representative with strong knowledge of health insurance policies and managed care processes
- Familiarity with HIPAA regulations to ensure patient privacy and confidentiality at all times
- Proficiency in Microsoft Office applications (Word, Excel) for documentation and communication tasks
- Experience with electronic health records (EHR/EHR management systems) and medical billing/coding procedures using CPT codes and ICD coding (ICD-9/ICD-10)
- Strong understanding of insurance verification processes, prior authorization procedures, and clinical confidentiality policies
- Excellent customer service skills with the ability to communicate clearly and empathetically with patients and healthcare providers
- Knowledge of medical terminology, medical records management, and health insurance policies is highly desirable
- Ability to multitask efficiently in a fast-paced environment while maintaining attention to detail
Join us in delivering exceptional patient care through effective coordination and compassionate service! This paid position offers an engaging work environment where your skills will make a meaningful difference in patients’ lives.
Pay: $18.00 - $22.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
