What are the responsibilities and job description for the Referral Coordinator - Cardiology position at IMS Care Center?
Headquartered in Phoenix, IMS Care Center is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality, innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow.
IMS Care Clinic is currently searching for a professional, compassionate, and knowledgeable individual to fill the position of Referral Coordinator in our Cardiology clinic in Avondale. The Referral Coordinator is responsible for completing authorizations and referrals for our medical services. In addition to reviewing the medical history of potential patients, you will verify information provided by their referring physicians and their insurance coverage. You will also monitor the schedule for our add-on patients, ensuring there are no conflicts and we have the prior authorization we need to move forward with their appointment or procedure.
Responsibilities:
- Complete authorizations and referrals for services, including appointments and procedures
- Review patient’s medical history and insurance coverage for approval
- Contact referring physicians for additional information as needed
- Input new patient information and update information in our system
- Monitor schedule for potential issues
- Complete billing documentation
- Assist with other clerical tasks as needed
- Initiate prior authorization for cardiac procedures and testing, and outpatient procedures
- Obtain prior authorization for procedures and testing in the office and the hospital
- Understand and explain benefits, copays, coinsurances and deductibles to patients
- Schedule patients for testing
- Document prior authorization and insurance verification notes in EMR
- Communicate with providers related to documentation for orders
- Collaborate with all IMS departments as needed
- Answering telephones and answering team messages from other departments
Requirements:
- 2 years experience preferred
- Bilingual in Spanish strongly preferred
- Knowledge of ICD, CPT codes, and insurance carriers claim requirements
- Excellent communication skills-both written and verbal
- Good computer skills and being familiar with Microsoft (Word and Excel)
- EMR (Athena) experience a plus
- Excellent verbal and communication skills
Education
- High School Diploma or GED
Joining IMS Care Center is more than saying “yes” to making the world a healthier place. It’s discovering a career that’s challenging, supportive and inspiring. Where a culture driven by excellence helps you not only meet your goals, but also create new ones. We focus on creating a diverse and inclusive culture, encouraging individual expression in the workplace and thrive on the innovative ideas this generates. Our hope is that each day you’ll uncover a new reason to love what you do. If this sounds like the workplace for you, apply now!
You can look forward to a generous compensation package including medical, dental, vision, short-term and long-term disability, life insurance, paid time off and a very lucrative 401K plan.
*IMS is a tobacco-free work environment
IMS is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, sex, disability status, sexual orientation, gender identity, age, protected veteran status or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.