Strategis Consulting · 6 hours ago
Referral Coordinator - Full-Time
South Springfield,GA,US
Full-time
Onsite
Entry, Mid Level
2+ years expStrategis Consulting is seeking a Referral Coordinator to manage referral and transition coordination activities. The role involves coordinating customer service requirements with clinical personnel and ensuring timely processing of patient referrals and authorizations.
Information Technology & Services
Responsibilities
Responsible for coordinating all outside referrals, appointments, and authorizations for outside diagnostic testing and other services
Accurately enter notes into EMR regarding letters or correspondence from insurance companies regarding insurance authorization or other notifications
Maintain on-going tracking and appropriate documentation on referrals
Document all interactions on an account
Assemble information concerning patient's clinical background and referral needs. Provide appropriate clinical information to specialist
Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis
Assist patients in problem solving potential issues related to the health care system, financial or social barriers
Ensure that referrals are addressed in a timely manner
Remind patients of schedule appointments via mail or phone
May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion
Will also be required to work as needed in the clinical environment (depending on clinical certification and licensure – see applicable job description) in times of heavy patient flow or need
Will participate in continuing education, both clinical and non-clinical
Ensures adherence to proper infection control, OSHA, and safety standards
Performs other duties as assigned or required
Qualification
Required
Education level equivalent to completion of high school, and a completion of a course of study resulting in a Medical Assistant or Licensed Practical Nurse degree
Skill and experience in planning, organizing, implementing, facilitating, verbal and written communications
Must possess basic typing skills
Have the ability to manage cash and give change
Use proper telephone etiquette
Must have and maintain an unencumbered certification or licensure as Medical Assistant or Licensed Practical Nurse
Two to three years medical office experience and experience with medical referrals
Must have a working knowledge of MS Excel and MS Word
ICD-9 or higher and CPT coding knowledge
General knowledge of insurance plans and billing
Company
Strategis Consulting
At Strategis we help Australian companies innovate their way to success, in strategic and tactical planning & coaching, and in our speciality areas of research, development and technology.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase