Referral Coordinator

Referral Coordinator

You will be the main point of contact for all referrals, and will be scheduling all of our new patients. Also, as a Referral Coordinator you will learn to thoroughly understand and comprehend different retinal diagnoses, and appropriately differentiate between emergent and non-emergent referrals. You will utilize a high level of customer service skills and phone etiquette to provide professional, and efficient service for our referring physicians and their patients.

Responsibilities & Duties

• Answer all incoming calls from referring physicians and ensure their requests are fulfilled and questions answered as needed
• Provide referring physicians data on referred patient exams as needed
• Appropriately schedule all referred patients in a timely manner, based on diagnosis and urgency of the referral
• Ensure complete patient demographics, insurance information, and appropriate clinical information is recorded in the chart
• Ensure all outgoing referrals are submitted for approval with appropriate ICD and CPT codes as requested by insurance carriers
• Contact insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis, and prognosis to insurance carriers
• Establish relationships with service providers and personnel
• Point of contact for patients and referring provider for any questions or concerns
• Assist in problem-solving potential issues related to referrals working under the guidance of the Clinic Manager
• Responsible for scheduling and notifying patients of scheduled appointments via phone, email, mail
• Responsible for calling referring providers’ offices to gather consultation notes
• Responsible for scanning all documents and consultation notes in patient’s charts
• Communicate with CRC doctors and Clinic Manager on any delay and / or issues regarding referrals
• Review all incoming faxes in a timely manner regarding patient referrals
• Facilitate clinical communications as needed
• Listen and respond to patient’s and referring provider needs and provide guidance and information.
• Schedule urgent appointments, based on necessity and acuity
• Monitor, accurately document, and communicate patient condition as appropriate in the EMR system
• Serve as backup for incoming phone calls if necessary due to high volume of calls

About the Candidate

• High school diploma or equivalent
• Experience as a medical receptionist (highly preferred)
• Excellent communication skills and phone etiquette
• Be able to multi-task and work well under pressure
• Ability to work accurately and efficiently
• Knowledge of EMR system and Microsoft Applications preferred
• Knowledge of scanning and faxing documents

All applicants considered for this role must be able to travel to other nearby locations.

Who We Are

California Retina Consultants (CRC) is part of Retina Consultants of America (RCA), the largest network of leading retina specialists with the mission of saving sight and improving patient lives through innovation and the highest quality care. Through RCA's physician-centered practice management model, physicians continue to drive clinical and practice culture while benefiting from the available business expertise, resources and shared best practices.

Benefits

• Medical Insurance Plans
• Vision Insurance Plan
• Dental Insurance Plan
• 401K Contribution
• Life Insurance
• Sick, Vacation, and Holiday Pay
• Certification Opportunities

Equal Opportunity Employer

California Retina Consultants is proud to be an Equal Employment Opportunity and an Affirmative Action Employer. We are committed to creating an inclusive work environment that celebrates diversity.

All offers are contingent upon satisfactory background check and pre-employment drug screen.