Medical Referral Coordinator

Job Description

Job Description

Coordinate and schedule medical appointments for patients
- Maintain accurate and up-to-date patient records
- Communicate with healthcare providers to ensure timely and appropriate care for patients
- Provide support to medical staff, including nurses and doctors, as needed
- Ensure compliance with all relevant healthcare regulations and guidelines

• Contact medical insurance companies and provide ICD diagnosis and CPT procedure codes for patient's illness, condition or injury for Prior Authorizations.
• Apply ICD and CPT codes to complete referral requests online or via fax.
• Conduct the entire office's EHR process and create a system to track old and new patient's records follow up with referrals completed.
• Incorporate core organizational values of quality, respect, integrity, partnership, and compassion in all activities and decisions.
• Establish rapport with all PCP offices, hospital personnel, and manage care representatives.
• Adhere to HIPAA and patient confidentiality requirements.
• Obtain medical records from EMR and submit documentation to specialists/hospitals.
• Verify patient health insurance information with major carriers including Medicaid.
• Determine eligibility and authorization for Medicaid and other insurances for diagnostic medical testing.
• Initiate EMR by entering demographics, referring and certifying physicians and family information.
• Maintain customer confidence and protection of medical information by complying with HIPAA guidelines and regulations.

Qualifications:
- High school diploma or equivalent required
- Previous experience in a medical office or healthcare setting is REQUIRED as well as knowledge of Medical Terminology.
- Strong organizational skills and attention to detail
- Excellent communication and interpersonal skills
- Proficient computer skills, including knowledge of electronic medical records systems
- Ability to multitask and prioritize tasks in a fast-paced environment
- Knowledge of medical terminology and procedures

We are seeking a dedicated individual who is passionate about providing quality healthcare services to join our team. If you meet the qualifications listed above, please submit your resume for consideration.

Job Type: Part-time