Referral Coordinator

Responsibilities

• Affords assistance in maintaining accurate insurance, demographic, and eligibility information.
• Verifies patient insurance and eligibility to determine authorization requirements.
• Obtains pre-authorization of services and resolves patient questions and concerns regarding insurance authorizations.
• Refers patients to appropriate teams if they have concerns about out-of-pocket costs.
• Reviews and forwards completed authorizations for accuracy to HIM for scanning into patient charts.
• Collaborates with the Account Follow-Up team to address denials related to authorization issues.

Qualifications

• High school diploma or equivalent required.
• Some receptionist or office experience preferred.
• Proficiency with computer systems and Microsoft (Outlook, Word, Excel) required.
• Must successfully complete required e-learning courses within 90 days of occupying the position.
• Demonstrates adaptability: handles day-to-day work challenges confidently, adjusts to multiple demands, and demonstrates flexibility.
• Shows work commitment: sets high standards of performance and works efficiently to achieve them.
• Commits to quality: emphasizes the need to deliver quality products and services.
• Three (3) years' medical business office experience (preferred).