Referral Coordinator

People are a company's greatest resource, which is why caring for patients and keeping them healthy is so important. Proactive MD offers a comprehensive health management solution that extends well beyond the clinic walls. By engaging patients and offering them a personal relationship with a primary care provider, we can deliver measurably better outcomes, making people happier, healthier, and more productive while significantly lowering overall medical costs. We put patients’ health first because amazing care yields amazing results. Job Summary The mission of the Referral Coordinator is to facilitate and ensure continuity in completing referrals/orders and prior authorizations requested by a provider. This role will understand the intricacies of providing high value referrals across geographic regions and different insurance plans. Works independently to complete prior authorizations and orders based on documentation in the EMR, accessing the provider when necessary and collaborates patient care with the Patient Advocate and Clinical Coordinator. Essential Duties And Responsibilities Will be cross trained on Patients Advocate and Clinical Coordinator responsibilitiesProvide clinical coverage by answering clinic phones and other duties as neededNotify patient that referral/order or prior authorization has been completed and ask if there are any barriers to completion of referral or accessing authorized serviceWorks with Director, Patient Care Navigation to ensure patients are receiving high quality low costs specialists/imaging. Reporting issues as they ariseWill adhere to all client specific responsibilities and duties. Required Knowledge, Skills, & Abilities Required: CMA preferred or 5 plus years as a referral coordinator 2+ years of experience working in healthcare setting with referral, provider and/or insurance experienceCurrent certification in Basic Life Support Managed care insurance experienceDemonstrated problem solving skillsAbility to communicate effectively with patients and providersKnowledge of the concepts and principles of insurance networksDemonstrated ability to be highly organized around time sensitive tasksKnowledge of the healthcare industry and available patient resources Knowledge of HIPAA confidentiality requirements