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.

Has the option of being remote, hybrid or in-office (Franklin, TN or Beverly, MA)

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.

Experience:

• Previous experience in a medical office or healthcare setting is preferred
• Familiarity with medical coding and terminology (ICD-10, ICD-9)
• Knowledge of insurance verification processes and managed care plans
• Proficient in using electronic medical records systems for documentation and record keeping
• Strong attention to detail and ability to prioritize tasks effectively
• Excellent communication skills, both written and verbal
• Knowledge of HIPAA regulations and ability to maintain patient confidentiality
• Bachelor's degree- REQUIRED
• 2 years of experience in similar administrative setting (referral coordinator/benefits coordinator/admissions coordinator)- REQUIRED
• Must be willing and serious about going direct after the 13 week travel assignment

_ If you are looking for an opportunity to contribute to the coordination of patient care in a supportive environment, we encourage you to apply for the role of Referral Coordinator._

Job Type: Contract

Pay: $20.00 - $23.00 per hour

Weekly day range:

• Monday to Friday
• No weekends

Ability to Relocate:

• Beverly, MA: Relocate before starting work (Required)

Work Location: In person