Responsibilities:

• Coordinate and manage new patient referral
• Must be Bilingual
• Ensure timely and accurate processing of referral requests
• Communicate with patients, providers, and insurance companies to gather necessary information for referrals
• Verify insurance coverage and obtain authorizations for upcoming appointments
• Maintain accurate and up-to-date referral records in electronic medical records system
• Collaborate with other healthcare professionals to facilitate seamless patient care

-Meet productivity authorization/verification requests 2 weeks prior to the scheduled appointment

-Modifies CPT/ICD-10 Codes and extends authorizations as needed

• Understand the CPT/ICD codes being submitted

-Maintain an understanding of payer policies for procedures

-Obtain benefits prior to patient visits

-Contact patient and or referring provider when unable to verify insurance benefits

• Follow HIPAA guidelines to protect patient privacy and confidentiality

Requirements:

• Previous experience working in a medical setting preferred-Prior experience as a Referral Coordinator utilizing EMR

• Familiarity with medical terminology, coding (ICD-9, ICD-10), and managed care

• Proficient in using electronic medical records systems for managing referrals and medical records

• Strong attention to detail and ability to multitask in a fast-paced environment

• Excellent communication skills, both written and verbal

• Ability to work collaboratively with a team of healthcare professionals

• Ability to work well under pressure

• Exceptional attention to detail

• Good organizational skills

• Knowledge of HIPAA regulations and commitment to maintaining patient confidentiality