Referral Specialist-Full Time-Days
Cape Fear Valley Health System —Elizabethtown, NC
- Full-time
- Writing skills
- Medical office experience
- HIPAA
14d
Branch Coordinator
Centerwell —Lumberton, NC
- $39,000 - $49,400 a year
- Full-time
- Computer literacy
- Writing skills
- HIPAA
- Paid parental leave
- Paid holidays
Qualified Professional - CST
Southeastern Integrated Care LLC —Lumberton, NC
- Full-time
- Nursing
- RN License
- Experience working with individuals with disabilities
Quick Apply
Case Mix Coordinator LPN HCC
PruittHealth —Dillon, SC
- Full-time
- Background check
- Mid-level
- LPN
- Health insurance
- Paid orientation
1d
Psychologist
Eventus WholeHealth PLLC —Lumberton, NC
- Skilled nursing facility
- Adults
- HIPAA
Quick Apply
HOME CARE PHYSICAL THERAPY ASSISTANT PTA
Liberty Health —Lumberton, NC
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
Quick Apply
HOME CARE OCCUPATIONAL THERAPIST OT
Liberty Health —Lumberton, NC
- Full-time
- CPR Certification
- BLS Certification
- Research
Quick Apply
HOME CARE PHYSICAL THERAPIST
Liberty Health —Lumberton, NC
- Full-time
- Physical & Rehabilitation Medicine
- Research
- Mid-level
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Branch Coordinator
Centerwell —Lumberton, NC
Managing all incoming telephone calls in a professional manner including: Screen and route calls to the appropriate agency staff.
$39,000 - $49,400 a year
Division Specialist
Lendmark Financial Services, LLC —Fayetteville, NC
Assist with the support and management of multiple branch locations and motivation of the staff to meet goals and objectives relating to branch profitability,…
Quick Apply
9d

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Care Management Coordinator
The Buckeye Ranch —Whitehall, OH
You have an active driver’s license and proof of auto insurance. You have experience related to children’s behavioral health, child welfare, developmental…
$40,664 - $54,745 a year
Quick Apply
Referral Coordinator
MSA Primary Care —Newark, OH
Monitor incoming emails and voicemails to the referral department. Access patient charts, creating referral orders and pulling clinical information to send.
Quick Apply
14d

I want to receive the latest job alert for referral coordinator in lumberton, nc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

referral coordinator jobs near lumberton, nc

Physical Therapist Assistant jobs in Lumberton, NC

Physical Therapist jobs in Lumberton, NC

Occupational Therapist jobs in Easley, SC

Physical Therapist Assistant jobs in Pembroke Pines, FL

Occupational Therapy Assistant jobs in San Jose, CA

Occupational Therapist jobs in Indiana

Occupational Therapist jobs in Charleston, WV

Occupational Therapist jobs in West Virginia

Mental Health Therapist jobs in Louisville, KY

Occupational Therapist jobs in Winston Salem, NC

School Psychologist jobs in New York, NY

Clinical Psychologist jobs in Oregon

Clinical Psychologist jobs in Sacramento, CA

Remote School Psychologist jobs in New York State

Pre License Psychologist jobs in California

School Psychologist jobs in Indianapolis, IN

Construction Project Manager jobs in Portland, OR

Branch Manager jobs in Minnesota

Branch Manager jobs in Tucson, AZ

Branch Manager jobs in Fresno, CA

Referral Specialist-Full Time-Days

Cape Fear Valley Health System -
Elizabethtown, NC

Apply Now

Job Details

Full-time
14 days ago

Qualifications

Computer operation
Writing skills
English
High school diploma or GED
Productivity software
Customer service problem-solving

Full Job Description

Facility

BMA Express Care

Location

Elizabethtown, North Carolina

Department

BMA Elizabethtown

Job Family

Clerical

Work Shift

Days (United States of America)

Summary

Obtains and/or verifies demographic, clinical, financial, and insurance information. Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Obtains and processes signed physician orders/referrals to ensure accurate clinical documentation for care delivery, specialty and outpatient ancillary referrals. In addition, the referral coordinator will conduct online insurance eligibility/benefit verification, obtain pre-certification/authorization, referral clearance and financial education on designated cases. As appropriate; notifies patient/guarantor, specialist, referring provider, etc., with pertinent information, inclusive of, but not limited to clinical documentation, referral status, follow-up, etc.

Major Job Functions

The following is a summary of the major essential functions of this job. The incumbent may perform other duties, both major and minor, that are not mentioned below. In addition, specific functions may change from time to time:

Maintains a working knowledge of the processes for medical administrative personnel, inclusive of comprehension of procedures for internal and external referrals; obtaining and sending protected patient information
Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms and ensure authorization matches test(s)/specialty from referral receipt
Validates medical necessity (LMRP/LCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance for service, procedure, or referral
Obtains specialist contact information; prints orders, patient demographic, and provider letter; documents as appropriate in electronic health record (EHR)
Determines proper referral requirements and/or limitations according to requested service, test, or procedure, to include proper identification of emergent referrals
Pre-registers the patient for upcoming visit(s)
Informs patient/guarantor of their liabilities, to include referral approval or denial, and documents appropriately
Sends and/or communicates appointment confirmation to referring office, as well as calls the patient to remind of appointment date, time, location, and preparation for procedures following protocols
Completes appropriate follow-up protocol as determined by leadership, as it relates to number of business days associated with routine and urgent referrals; initiation to completion
Assists insurance companies, physician and physician practices, and or hospital departments with patient information in accordance with HIPAA guidelines
Meets or exceeds accuracy standard goal determined by Patient Access Leadership
Other duties as assigned

Minimum Qualifications

The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:

Education and Formal Training:

High school diploma or equivalent required
Registered or Certified Medical Office Assistant OR 2 years of direct referral experience in lieu of certification required
Licensed Practical Nurse background preferred

Work Experience:

2 years insurance/referral experience within a hospital or medical office setting preferred

Knowledge, Skills, and Abilities Required:

Proficiency in reading, writing, and speaking the English language
Knowledge of insurance and collection of payments
Experience with Microsoft software
Excellent verbal and written communication skills, customer service skills and problem solving abilities
Ability to appropriately handle complexity and stress with the changing needs of the patients, families, visitors, and the Health System
May be required to periodically rotate shifts and regular days off
Flexibility to meet the department hours of operation

Physical Requirements:

Ability to communicate orally, see, and hear to collect information
Dexterity to operate office equipment
Subject to eyestrain due to hours spent looking at monitor screen
Noise level is low to moderate
Answers telephone calls
Uses computer and other business machines extensively
Bends, reaches, pushes and pulls file drawers to file records and reports
Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds

Required Licenses and Certifications

Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender Identity

Apply Now

Refine Your Search

referral coordinator jobs in lumberton, nc

Referral Specialist-Full Time-Days

Branch Coordinator

Qualified Professional - CST

Case Mix Coordinator LPN HCC

Psychologist

HOME CARE PHYSICAL THERAPY ASSISTANT PTA

HOME CARE OCCUPATIONAL THERAPIST OT

HOME CARE PHYSICAL THERAPIST