Referral Coordinator
Vacancy expired!
Position Summary :
This individual is responsible for expediting the administrative requirements for the patient referrals in the clinic, ensuring that appropriate referrals are made to participating providers;
with the patients health plan. The Referral Coordinator acts as a resource regarding referrals and insurance plans guidelines.
This is an intermediate level, staff position working in a clinic with multiple providers and support staff. Work situations require an ability to interpret medical guidelines, benefits, policies and procedures, in support of their objective to expedite the referral process.
Minimum Requirements :
Two years experience working in a medical setting or insurance company
Experience in managed care desired
Experience with CPT and ICD-9 coding, preferred
Education / Licenses / Certifications :
High school graduate or equivalent preferred
Familiar with Epic, Solid understanding of JDA estimate tool and how to discuss patient financial responsibility for both the physician and hospital procedure, very familiar with insurance websites and prior authorization protocols.
Detail oriented, collaborative, fast learner and kind. This person will have a go-getter attitude, wants to learn new things and appreciates being challenged in a constant changing health care environment.
Vacancy expired!