Description

CutisCare provides management services to wound care and hyperbaric medicine service lines in hospitals nationwide. As a Referral Coordinator you will be joining a team of compassionate wound care specialists in positively impacting the patients’ quality of life throughout their healing journey. This is a full time position with medical, dental, vision, disability and life insurance, flexible spending accounts, 401(k) match, and paid time off.

Responsibilities:

• Insurance verification and eligibility
• Process and track all incoming referrals, faxed or electronic; ensuring accuracy and completeness
• Registering and scheduling patients, per hospital policies
• Obtains authorization for wound and/or hyperbaric services ordered internally
• Coordinates outgoing referrals and insurance authorizations for ordered services; DME, home health, vascular, nutrition, imaging, infusion, etc.
• Ensures clinical records support medical necessity and insurance guidelines for ordered services and/or procedures
• Assists hospital billing department with claim denials and appeals, as needed
• Professionally and efficiently communicates with all parties involved – colleagues, referring/ordering providers, patients, etc.
• Provide administrative support in front office; answer phones, check-in/out patients

Requirements

• High school or equivalent
• Healthcare experience
• BLS certification
• Insurance verifications and eligibility
• Referrals, insurance authorizations and pre-certifications
• Medical Assistant (preferred)
• Medical coding (preferred)