Medical Referral Coordinator
hace 2 semanas
Job Summary
The Medical Referral Coordinator is responsible for ensuring seamless patient care by processing referrals, obtaining accurate and complete data for pre-authorization requests, and effectively communicating with internal and external customers.
Key Responsibilities
Obtains initial and subsequent insurance authorization and pre-certification for in-office procedures, treatments, and services.
Researches additional or alternative resources for non-covered services to prevent payment denials.
Maintains a close working relationship with site Patient Financial Counselor.
Communicates with clinical staff, PFC, and management regarding restrictions or unique requirements for insurance plans.
Maintains a current working knowledge of authorization requirements for all payers, and of state and federal regulatory guidelines.
Assists in maintaining manuals, logs, and other required documentation.
Demonstrates an understanding of patient confidentiality to protect the patient and the clinic/corporation.
Follows policies and procedures to contribute to the efficiency of the front office.
Covers for and assists with other front office functions as requested.
Benefits
Comprehensive benefits package to meet your financial, health, and work-life balance goals.
On-demand pay program powered by Payactiv.
Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more.
Optional identity theft protection, home and auto insurance, pet insurance.
Traditional and Roth retirement options with service contribution and match savings.
Qualifications
High School Diploma or equivalent.
3 years of relevant experience A minimum of (3) years of medical business office experience with insurance procedures and patient interaction.
Additional clinical background.
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