Front Office - Incoming Referrals

Role and Responsibilities:

• Maintain strict confidentiality of all patient personal, financial, and medical information in compliance with privacy regulations.
• Process incoming referrals, ensuring all required documentation is complete, accurate, and appropriately routed.
• Review referrals for clinical information, insurance requirements, prior authorizations, and network eligibility.
• Track prior authorizations to support timely patient care.
• Accurately register new patients and update existing accounts with complete demographic and insurance information.
• Verify patient insurance coverage, including referral and pre-authorization requirements.
• Coordinate with referring providers, physicians, nurses, and internal teams to obtain missing information and ensure efficient workflow.
• Monitor referral work queues and maintain accurate documentation within the electronic health record (EHR) system.
• Scan, fax, and properly index documents into patient medical records in a timely manner.
• Utilize EHR and other systems to manage schedules, patient accounts, task lists, and communication tools.
• Answer incoming calls, assist patients, and schedule appointments in a professional and timely manner.
• Take accurate messages, resolve inquiries when possible, and route tasks appropriately.
• Communicate clearly with patients and care teams regarding referral and scheduling status.
• Train and support staff as needed and contribute to a collaborative team environment.
• Greet and assist patients in a courteous and professional manner.
• Perform other duties as assigned.