Referral Coordinator
- Request prior authorizations from a variety of health plans for visits, procedures, and referrals.
- Monitor and track the status of patient referrals, following up with health plans as needed.
- Maintain accurate and detailed records of patient referrals, including referral forms and documentation of communication.
- Ensure compliance with documentation and data entry protocols.
- Verify patient insurance coverage.
- Provide regular updates to healthcare providers and management on referral trends and issues.
- Collaborate with healthcare providers and staff to identify opportunities for improving the referral process.
- Be open-minded to process changes and new technologies.
- Ensure compliance with healthcare regulations, including HIPAA and relevant state and federal guidelines.
- Maintain confidentiality and security of patient information.
- High school diploma or equivalent.
- Knowledge of medical terminology, including CPT and ICD-10 codes.
- At least 1 year of experience as a Referral Coordinator in any specialty.
- Strong collaborator with a positive, team-focused mindset.
- Enthusiastic about contributing to a supportive and team-oriented culture.
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