What are the responsibilities and job description for the Referral Coordinator position at Workwell?
Job Description
Position Summary
Workwell Occupational Medicine is seeking a Referral Coordinator. This is an excellent opportunity for an ambitious medical professional who wants to be part of a dynamic and growing occupational healthcare company. Workwell is a highly respected specialty practice in the Front Range community and we pride ourselves on taking care of our patients, as well as our teammates. The Referral Coordinator operates in collaboration with other support staff and clinic healthcare providers. Coordinates with healthcare providers and patients to facilitate and track the referral process. In addition, the Coordinator initiates referrals with hospitals, specialists, and other organizations when services are authorized and educates patients and providers about insurance plans and their benefits. This is a full-time, remote position after initial training in our Corporate Office in Longmont, CO. Starting pay range is $16.00-$18.00/hour. DOE.
Essential Job Duties & Tasks
- Receives and processes all referrals per established protocols.
- Coordinates referrals with hospitals, specialists, and other organizations when services are authorized.
- Schedules patients with Specialists, provides necessary paperwork and instructions to patients and specialists prior to appointments.
- Maintains accurate records, tracking the status and receipt of notes for completed referrals.
- Provides information to and educates patients regarding availability of specialty and other non-Workwell services.
- Research and correct invalid or incorrect patient insurance demographic information to ensure proper billing.
- Ensure ICD-9/ICD-10 codes, CPT and HCPCS codes are accurate.
- Obtain authorizations for patient referrals to specialists, diagnostic testing and surgeries.
- Contact employer, client, primary or specialists' offices to request medical records or additional information in order to obtain authorizations.
- Research and resolve rejected, incorrectly paid, and denied claims relating to authorizations.
- Assist patients with questions or concerns regarding scheduling.
- Establish and maintain a professional relationship with all staff in order to resolve problems timely.
- Educate clinic management and staff regarding changes to insurance and regulatory requirements.
- Advise physician if authorization request is denied.
- Maintain records of all authorizations and accurately document patient accounts of all actions taken.
- Utilize formal channels of communication to report concerns, personal requests and patient issues.
- Complete additional projects and duties as assigned.
Work Hours
Work hours are approximately 8 am - 5 pm, Monday - Friday, No weekends. Hours are dependent on business needs.
Experience and Skills
Education, Skills & Qualifications
- High school diploma or equivalency.
- One to two years current experience in insurance referrals/authorizations.
- One year of experience working in an occupational medicine practice and knowledge of medical terminology highly preferred.
- Ability to prioritize tasks & work independently.
- Excellent organization, multi-tasking and communication skills with high attention to detail and accuracy.