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Banyan Health Systems · 3 days ago

Referral Coordinator -BILINGUAL

United States

Full-time

Remote

Entry Level

$16/hr - $20/hr

2+ years exp

Banyan Health Systems has been serving Miami-Dade and Broward Counties since 1970, providing quality, individualized care to patients. They are seeking a Referral Coordinator who will assist in all aspects of medical practice, focusing on patient care management, administration, and clinical procedures.

Health CareHospitalMedicalNon ProfitPrimary and Urgent Care

Responsibilities

Processes all referrals according to level of priority and organizational policy

Sustains a tracking log to ensure all referrals are processed and corresponding results received in accordance to priority and organizational policy

Answers telephonic or verbal inquiries on insurance matters in a prompt and courteous manner

Maintains the access to managed care portals for continuous organizational usage

Openly communicates on authorization issues with the Operations Manager and medical staff. Advises the aforementioned parties on the requirements for completing a referral in a manner conducive to policy and medical necessity

Data enters the progress and completion of all referrals in the practice office management information system (POMIS)

Ensures all referrals contain the necessary elements for processing with third party payers, which includes but not limited to specified forms, supporting diagnostic and/or consultative notes, signature of the physician, and corresponding procedural and diagnostic codes

Checks at least a day in advance the third party coverage, eligibility, and copayments of all scheduled patients and data enters any changes in POMIS as well as informing relevant staff and affected patients

Orders and maintains supplies, forms and arranges for equipment maintenance

Performs other duties as assigned