Referral Coordinator I-Days

About the Role

Performs a variety of support functions for each assigned practice including scheduling, insurance verification, obtaining authorizations and referrals, and record management.

Responsibilities

• Schedules patient appointments with specialty providers including correct processing of necessary referral forms and transfer of patient information.
• Ensures patient confidentiality.
• Manages the insurance referral process according to policy and keeps staff current on changes.
• Reviews patient insurance to obtain authorizations for diagnostic testing, genetic labs, DME, and medications.
• Provides insurance company with clinical information necessary to secure authorizations.
• Communicates with clinical team when authorization is unable to be obtained.
• Maintains referral record in electronic medical record.
• Maintains established policies and procedures, objectives, quality assessment, and safety standards.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
• Establishes and maintains files and records on an ongoing basis.
• Opens and routes incoming mail; distributes correspondence and other material to staff.
• Performs other related duties as identified.

Qualifications

• High School Diploma or GED required.
• 1 year of medical insurance experience or experience obtaining authorizations and referrals from insurance companies required.
• Medical front office experience preferred.
• Medical terminology course required within 180 days of hire.

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Frequently
• Reaching - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Occasionally
• Eye/Hand/Foot Coordination - Occasionally