Bilingual Referral Coordinator - Contract

Responsibilities

• Manage the referral process from initiation to completion, ensuring all necessary documentation is accurate and submitted promptly.
• Communicate effectively with patients, providers, and insurance companies in both English and the second language to clarify referral requirements and follow-up.
• Verify insurance coverage and benefits, including insurance verification procedures, to facilitate authorized services.
• Maintain detailed medical records related to referrals, ensuring compliance with HIPAA regulations for patient privacy and confidentiality.
• Utilize medical terminology accurately when documenting referrals and communicating with healthcare professionals.
• Aid in scheduling appointments, coordinating follow-up care, and ensuring timely patient engagement.
• Apply knowledge of CPT coding, ICD-9, ICD-10, and ICD coding systems for accurate documentation and billing processes.
• Collaborate with medical office staff to ensure smooth workflow and resolve any issues related to referrals or insurance claims.
• Stay informed about managed care policies and updates to ensure compliance with current healthcare regulations.

Requirements

• One year of healthcare office, medical administration, and referral management experience.

Qualifications

• Bilingual proficiency in Spanish and English.

Skills

• Proven experience in a medical office setting or healthcare environment.
• Strong knowledge of managed care processes, medical coding (CPT, ICD-9, ICD-10), and medical terminology.
• Familiarity with HIPAA regulations governing patient privacy and data security.
• Experience with insurance verification procedures and medical records management.
• Excellent organizational skills with attention to detail in documentation.
• Effective communication skills for liaising with diverse stakeholders including patients, providers, and insurers.

Benefits

• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Referral program
• Vision insurance