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1.Processes new patient referrals through internal Central Registration System (CRS), ensuring accuracy of patient personal and insurance information.
2.Completes insurance benefit verifications via phone or online verification tools to confirm patient benefits, specific to the referred clinic, to determine acceptance to the clinic.
3.Works with clinic staff to ensure proper documentation for patient verifications is obtained.
4.Works with clinic staff to obtain patient and/or representative signatures on admission documentation as needed.
5.Acts as first point of contact for patient’s benefit or network status questions. Escalates difficult conversations as necessary.
6.Ensures completeness and accuracy of patient accounts in billing system, QMS.
7.Resolves billing rejections related to patient demographic information, including working with the patient and/or payer for resolution if necessary.
8.Educates patients on financial responsibility while travelling internationally and drafts corresponding agreements for signature.
9.Initiates requests for authorization as needed based on insurance requirements and clinic network status.
10.Completes and maintains region and/or clinic specific reports.
11.Ensures compliance with CMS coordination of benefits rules.
12.Ensures confidentiality of all data, including patient, employee and operational data.
13.Adapts and is flexible when change arises, alternating between tasks as needed.
14.Stays current with department changes and updates and willingly learns new skills.
15.Handles patient information with discretion and sensitivity and maintains HIPAA compliance.
16.Understands and complies with Medicare rules and regulations, as well as applicable federal, state, agency, region and clinic rules and regulations.
17.Performs other tasks, duties and projects as assigned.
About Cambay Healthcare LLC
Cambay Healthcare is a healthcare staffing and workforce solutions company that places clinical and healthcare-oriented non-clinical talent in hospitals and healthcare settings across the nation. We provide staff to thousands of hospitals, post-acute care, and skilled nursing organizations, clinics, and other settings in all 50 states. Our process is simple – we take time to understand a healthcare provider’s background and professional goals and partner with them to find opportunities tailored to their specific goals and needs. The ultimate goal of this personalized approach is to successfully match our candidates in positions and settings where they can thrive and make a meaningful impact on the clinician and their patients and their families.
We offer a variety of flexible work options for healthcare professionals, including full-time, part-time, and per diem positions, in all types of healthcare settings across the United States. We offer some of the most competitive pay and benefit packages in the industry.
To learn more about us, please visit www.cambayhealthcare.com
Join the healthcare revolution and accelerate your healthcare career with Cambay Healthcare!
Job Type: Full-time
Pay: $39,520.00 - $45,760.00 per year
Benefits:
Weekly day range:
Application Question(s):
2 years of experience in similar administrative setting (referral coordinator/benefits coordinator/admissions coordinator)- REQUIRED"
Education:
Experience:
Work Location: In person
Full Time
$45k-55k (estimate)
04/29/2024
04/30/2024
The job skills required for Referral Coordinator include Billing, HIPAA, Confidentiality, Health Insurance, etc. Having related job skills and expertise will give you an advantage when applying to be a Referral Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Referral Coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Referral Coordinator positions, which can be used as a reference in future career path planning. As a Referral Coordinator, it can be promoted into senior positions as an Admitting Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Referral Coordinator. You can explore the career advancement for a Referral Coordinator below and select your interested title to get hiring information.
If you are interested in becoming a Referral Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Referral Coordinator for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Referral Coordinator job description and responsibilities
Performs data collection and data entry, following through and documenting the interaction.
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Make patient referrals and assist with medical services.
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Provides referral and authorization services to the benefit of the patient's medical necessities as directed by a physician (s).
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Ensures patients have been cleared for specialty service office visits.
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Referral coordinators set appointments and process transfers to ensure timely transmission and start of services.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Referral Coordinator jobs
Ability to work independently and be self-directed and flexible.
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Effective telephone skills.
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Ability to work at a high-volume level of accuracy.
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Strong level of confidentiality due to the sensitivity of materials and information handled
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Must be able to make suggestions on workflow or system efficiency and effectiveness.
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Step 3: View the best colleges and universities for Referral Coordinator.