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JOB OVERVIEW
RESPONSIBILITIES
The Referral Coordinator is responsible for all administrative processing in regard to patient’s personal and insurance information for a group of dialysis clinics. This individual cooperates and works closely with both internal and remote co-workers, possesses strong time management skills and the ability to complete assigned job duties with applicable supervisory direction, including exercising job appropriate judgement.
Essential Functions
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.
SUBMISSION REQUIREMENTS
Job Types: Full-time, Contract
Pay: $39,520.00 - $45,760.00 per year
Weekly day range:
Education:
Experience:
Ability to Relocate:
Work Location: In person
Contractor | Full Time
$45k-55k (estimate)
04/29/2024
08/26/2024
The job skills required for Medical Referral Coordinator include Billing, HIPAA, Confidentiality, Time Management, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical 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 Medical Referral Coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Medical Referral Coordinator positions, which can be used as a reference in future career path planning. As a Medical 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 Medical Referral Coordinator. You can explore the career advancement for a Medical Referral Coordinator below and select your interested title to get hiring information.