What are the responsibilities and job description for the REFERRAL COORDINATOR position at Elite?
REFERRAL COORDINATOR
Elite Primary Care of Waycross
Full-time
Location: Waycross, GA
Work Hours: Monday - Friday 8am - 5pm
Overview: Join our team of innovative Practitioners and professionals. At Elite Primary Care, we are looking for experienced individuals that take initiative, are detail oriented, excellent at multitasking, enthusiastic, compassionate and professional. Our practice is dedicated to providing quality care to our patients, and we are looking for a compassionate and experienced Referral Specialist who wants to join our team.
The successful candidate will be responsible for processing and verifying all patient referrals and authorizations; providing excellent care, and collaborating effectively with all departments.
Qualifications & Skills
- Licensed Practical Nurse or Medical Assistant
- 2 years experience as a referral coordinator or background in Medical Office is preferred.
- Ability to comprehend and follow established office routines and policies.
- Understanding of insurance carrier’s plans and guidelines.
- Strong oral and written communication skills
- Exceptional organizational skills
- Strong attention to detail
- Excellent interpersonal and organizational skills
- Knowledge of medical terminology, CPT and ICD 10 codes a plus
- Comfort with computer usage
- EclinicalWorks EMR a plus
- US work authorization (Required)
Responsibilities and Duties
- Obtains and reviews authorizations requests and follows the referral processes. Utilize multiple computer programs to validate insurance eligibility and insurance requirements.
- Contacts insurance companies to verify benefits and obtain pre-certification and/or authorization when required.
- Accurately enters authorization and/or pre-certification information into th computer system and attaches authorization.
- Ensures appropriate feedback and follow-up with all authorization and/or pre-certification requests.
- Locates and refers patients to appropriate providers and/or facilities.
- Communicates efficiently and effectively with other providers’ offices, insurance companies, and patients.
- Serve as initial and ongoing point of contact for referring physicians and direct patients.
- Notify patients when the outgoing referral process is completed and enter appropriate documentation into the patient’s electronic medical chart.
- Responsible for all communicative referral information (i.e. faxes, emails, telephone calls)
- Processes and verifies new patient referrals in a timely manner.
- Document work processes as required in EclinicalWorks
- Provide follow up with 100% of physician referrals..
- Always act in a friendly manner toward all patients, family members, coworkers, and other internal or external customers.
- Maintains confidentiality of patient information.
- Maintains regular consistent attendance, personal appearance, punctuality, and adherence to applicable health and safety procedures.
- Performs other work-related duties, as assigned by the Office Manager.
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Disability insurance
- 401(k) matching
