Referral Coordinator - Dakota Ridge

About the role

The Referral Coordinator is an on-site, in person position responsible for handling referrals and calling the prospective patients to schedule appointment, ensuring that appropriate authorizations are requested, received and recorded in the EMR. Enters progress notes and other pertinent information into the electronic medical record based on application of practices and procedures. This position does not have the option to work remotely.

Responsibilities

• Obtains, coordinates and schedules referrals.
• Routinely checks physicians’ schedules for any additional add-on appointments requiring referrals.
• Serves as a representative to referring physician offices, insurance carriers and patients.
• Collaborate with all departments to ensure all referrals are facilitated.
• Assists with coordination of activities related to insurance pre-certification/authorization.
• Facilitates prior authorizations and ensures prior approval requirements are met.
• Performs administrative duties including referral processing, patient registration, verification of benefits, insurance authorizations, patient appointment scheduling, program communication to potential candidates and communication with referral sources.
• Backs up front desk when needed.

Qualifications

Education: High school diploma or general education degree (GED); or two years related experience in a medical practice in insurance processing and follow up.

Experience: Minimum of two years medical business office experience. Demonstrate strong leadership and problem-solving abilities. High level interpersonal skills, knowledge of information systems.

Skills

• Knowledge of medical office procedures
• Knowledge of managed care organizations and insurance carriers’ requirements of pre-notification of medical services
• Knowledge of medical terminology required
• Excellent verbal communication skills
• Ability to maintain confidentiality of sensitive information
• Knowledge of computer and job-related software
• Ability to complete individual