Medical Referral Coordinator

Agency Summary :

It takes a wide range of amazing people to achieve the mission of White Bird Clinic and to be successful in the work that we do.

We provide compassionate, humanistic healthcare and supportive services to individuals in our community, so everyone receives the care they need.

Our priority is to serve people who are unserved, underinsured, disabled and / or homeless. Do you possess qualities and behaviors that foster collaboration, patience, empathy, and humor while utilizing stress reduction techniques for the self and others, remaining level-headed, and have a tolerance for ambiguity?

Can you approach challenging situations in a positive and creative way? If yes, please apply and tell us how!

Position Summary :

We are looking for a Referral Coordinator to act as a crucial liaison between patients, healthcare providers, and insurance companies.

This position involves managing and facilitating the referral process, ensuring that patients receive timely and appropriate specialist care as prescribed by their primary healthcare providers.

The Referral Coordinator will navigate the complexities of healthcare protocols and insurance requirements to streamline communication and support patient care continuity. Essential Functions

Position Responsibilities

• Assures the services that are approved by private payors have been done and that we request more visits for patients as we continue through the episode of care.
• May also be responsible for management of referrals; working closely with team members to ensure optimum utilization and cost containment.
• Provides clerical support and assistance to staff.
• Oversees the data entry and completion of referral forms / notifications.
• Obtains insurance pre-authorization for patients and reauthorization of additional treatment.
• Ensures insurance carrier (including Medicare) documentation requirements are met and referral support documentation is filed in patient's medical record.
• Efficiently manages correspondence with patients, physicians, specialists, insurance companies.
• Documents pertinent information on referral form and / or in medical record.
• Communicates with billing staff and third-party payors to assure coverage of patient care.
• Performs other duties as assigned.

Required Qualifications

3 years of experience working in insurance in a medical related field, or other related experience.

Preferred Qualifications

Two years college or accredited business school preferred.

Certified Medical Assistant strongly preferred.

Equal Employment Opportunity

White Bird Clinic is proud to be an Equal Opportunity / Affirmative Action Employer and is committed to attracting, retaining, and developing a highly qualified, diverse, and dedicated work force.

White Bird Clinic hires and promotes people based on their qualifications, performance, and abilities. We support the establishment and maintenance of a workplace that fosters trust, equality, and teamwork, in which all employees recognize and appreciate the diversity of individual team members.

We provide all qualified applicants for employment and employees with equal opportunities for hire, promotion, and other terms and conditions of employment, regardless of their race, color, religion, gender, sexual orientation, gender identity, national origin / ethnicity, age, physical or mental disability, genetic factors, military / veteran status, or any other status or characteristic protected by federal, state, and / or local law.

White Bird Clinic will consider for employment qualified applicants with criminal histories in a manner consistent with applicable federal, state, and local laws.

Studies have shown that women and people of color are less likely to apply for jobs if they don't meet every one of the qualifications listed.

We are interested in finding the best candidate for the job, and that candidate may be one who comes from a less traditional background.

If you meet key qualifications for the job, and believe you would be the best fit, we encourage you to apply. Please use your cover letter to explain how you will accomplish parts of the job for which you have less experience.

Compensation Details :

This is a non-exempt position with target starting base compensation ranging between $20-$25 per hour paid on a bi-weekly basis.

In addition, this position qualifies for a competitive health and welfare package and generous paid time off opportunities.

Last updated : 2024-05-13