What are the responsibilities and job description for the Referral Coordinator position at Astrana Care of Nevada?
Job Description:
Referral Coordinator is responsible for assisting patients who require specialty care referrals. The prior auth and referral coordinator submits all prior auth and referrals through the proper insurance portals for approval. Responsible for sending out the referrals to the specialists and following up with the specialists and patients to ensure they are seen.
Eligibility A minimum of 1-year previous experience preferred.
Responsibilities
- Handling incoming calls efficiently.
- Responsible for identifying patients’ needs, clarifying information, submitting referrals via insurance portals, faxing out referrals and following up with the patient.
- Provide courteous customer service to patients regarding referral requests.
- Request consult notes from other providers as needed.
- Responds to all patient inquiries concerning their referrals.
- Communicate with insurance companies to ensure all requests adhere to guidelines of coverage.
- Track referrals and provide follow-up as needed.
- Document all referral activities on patient files for future reference.
- Maintain accurate and organized patient file documentation.
Requirements/Skills
- High school diploma or equivalent required.
- One (1) to three (3) years of Call Center Experience
- Knowledge of managed care and medical insurance plans is preferred.
- Medical Terminology
- Strong verbal and written communication skills; must be able to communicate in a professional and courteous manner.
- Proficient in Microsoft Office applications and insurance eligibility database.
- Knowledge of E Clinical Works a plus.
- Excellent data entry and typing skills.
Disclaimer: This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
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Job Type: Full-time
Pay: $19.00 - $22.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Weekly day range:
- Monday to Friday
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Ability to Commute:
- Las Vegas, NV 89148 (Required)
Ability to Relocate:
- Las Vegas, NV 89148: Relocate before starting work (Required)
Work Location: In person
Salary : $19 - $22