Referral Coordinator

About the Role

CareMore Health is seeking a Referral Coordinator II to process routine and moderately complex referrals while supporting team productivity and referral workflow coordination.

Primary Responsibilities

• Acts as a developing subject matter resource for referral processes and supports team members with routine questions
• Serves as liaison between hospital departments, health plans, physicians, patients, vendors and other referral sources to facilitate referral processing
• Reviews referrals for completeness and accuracy and follows up for additional information when needed
• Verifies insurance coverage and obtains authorizations when required according to established processes
• Contacts physician offices as needed to obtain demographic information or related data
• Enters referrals, documents communications, actions and other data in system
• Escalates complex referral issues or authorization challenges to senior staff or leadership as appropriate

Minimum Qualifications

• High school diploma or GED and 1+ year of customer service or healthcare administrative experience required; or any combination of education and experience which would provide an equivalent background
• Medical Assistant certificate / certification from an accredited training program required

Preferred Qualifications

• Strong knowledge of medical terminology, plan specific guidelines; ICD-9 and CPT coding preferred

Pay

$20.00 to $30.00 per hour