Referral Coordinator

The Referral Coordinator provides medical business office clerical assistance for the department of Surgery

-Process referral orders, schedule patient appointments and follow-up with referring provider or specialist for completion of referral order

-Obtain authorization for orders from insurance companies

-Obtain pre-certifications for diagnostic test

-Process orders such as home healthcare, durable medical equipment and respiratory, etc.

-Process orders, schedule appointments and follow-up for specialty procedures in order to complete orders for imaging and other requested tests

-Review referral-tracking reports

-Instruct patients for preparation for specific testing and procedures

-Complete referral tasks in Allscripts.

-Complete financial authorizations task in Allscripts.

-Coordinate patients care via phone with outside care managers

-Process online referrals via insurance company's websites as well as manually written referrals

-Obtain authorization and schedule out-patient procedures & wound care

-Retrieve patient information from Allscripts to fax to referring providers & specialist

-Gather patient information from outside medical institutions to complete referral orders and fax to referring providers & specialist

-Provide in-service to new faculty, residents, and med students

-Provide necessary CPT and ICD-10 coding information upon request

-Retrieve and process messages from the referral line left by providers and patients

PATIENT CONFIDENTIALITY MUST BE MAINTAINED AT ALL TIMES.

Performs other duties as assigned.

EDUCATION:

Successful completion of a Medical Assistant program and certification (RMA or CMA) is highly preferred.

EXPERIENCE

Prior referral experience in regards to the process of authorization and eligibility for insurances required. Must be knowledgeable of the various types of insurance carriers (ex. HMO, PPO). Familiarity with Medical Terminology, ICD-10 and CPT preferred. Medical applications software experience preferred. Customer service oriented individual is required.