Essential Duties & Responsibilities

• Prioritize referrals according to level of urgency
• Ensure complete and accurate registration, including patient demographic, current insurance information.

• Assemble information concerning patient’s clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialty
• Maintain referrals tracking system and up to date referrals appropriate documentation of referrals to promote team awareness.
• Follow up on prior authorizations is performed at least every two business days and notes made in the referral notes section
• Follow up on pending referrals on a daily basis.

• Patients are notified verbally and given/sent written copies of their referrals.
• Contacts patients with information concerning tests ordered by a provider as necessary.
• Orders and/or directs patients for outside tests.
• Obtain authorization from a diversity of insurance companies.
• Performs other duties as required.

Experience & Skills

• High school diploma or GED.
• Previous experience in a physician’s office, clinic, or hospital processing referrals.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
• Proficient with Medical Terminology.
• Knowledge of ICD 10 or CPT Coding.
• Experience working with eCW preferably.
• Commercial and Medicare Insurance knowledge

ABILITIES/SKILLS

• Excellent communication, Customer Service and telephone skills.
• Strong organizational skills and ability to multi-task effectively.
• Detail oriented and able to work efficiently in a stressful environment.
• Strong sense of teamwork.
• Able to respect and maintain patient confidentiality at all times.
• Must be able to work with the Practice Management System.
• Must be able to work independently.
• Must be able to follow policies and procedure.
• Ability to read and interpret medical records.
• Conscientious problem solver, willing to learn, and take personal pride in their work performance/accuracy.

Job Type: Full-time

Pay: $16.00 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday
• No weekends

Education:

• High school or equivalent (Preferred)

Experience:

• Referrals: 2 years (Required)
• Medical/Hospital setting: 2 years (Preferred)

Language:

• English (Required)
• Spanish (Preferred)

Work Location: In person