Role OverviewThe Referral Coordinator will obtain information, insurance verification, and authorization required for proper patient treatment and referrals in a timely and accurate manner. This role is responsible for handling a high volume of patient flow and requires basic skills using MS Excel and MS Word.
What You Will Do
The Referral Coordinator will receive, track, and obtain insurance authorization from in-network and out-of-network insurance carriers for referred patients and follow-up visits with specialty care providers. They will also process physician referral orders using Allscripts (EMR system) and coordinate new therapy referrals for insurance plans that require authorization.
Why It Might Be a Fit
The ideal candidate will have a high school diploma or GED certificate, two years of related experience, and/or training. They will also have knowledge of ICD-9 and CPT codes, insurance plans, and their rules. The candidate should be able to maintain confidentiality of records, communicate effectively, and demonstrate knowledge of medical terminology and general medical office procedures.
Requirements
- High School Diploma or GED certificate
- Two years related experience and/or training
- Basic skills using MS Excel and MS Word
- Knowledge of ICD-9 and CPT codes
- Knowledge of insurance plans and their rules
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