Referral Coordinator
Overview
The Referral Coordinator assists in the referral of patients to internal and external practices. This role also helps with the verification and documentation of patient treatment making sure that patients do not receive treatment that they already had or would not be covered through insurance or another third-party payer.
Responsibilities
Supports the verification of patients coverage by third party payers using payment eligibility websites to monitor and flag potential coverage issues to patients and providers.
Faxes or mails relevant documentation to the appropriate internal or external provider to get relevant information for the patient into the correct hands.
Schedules referral appointments and procedures in coordination with patients insurance network to find and identify providers that fit a patients need and budget.
Completes a referral form for each patient to enable external and some internal offices to be aware of why the patient was referred there and the appropriate treatment for them.
Obtains pre-authorization or pre-certification for necessary procedures in order to expedite the process of treatment for patients providers and families paying close attention to details.
Performs other duties as assigned.
Qualifications
EDUCATION:
Required: High School Diploma or equivalent
EXPERIENCE:
Required: Two or more years in a medical office or customer service-related field
LICENSURE/CERTIFICATION/REGISTRY/LISTING:
Required Experience:
IC
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