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Referral Coordinator

Category:

Frio Regional Primary Care & Urgent Care Clinic

Department:

Frio Regional Primary Clinic

Status:

RFT

Schedule:

Must be flexible to work weekends/holidays as needed

Description:

Job Summary:

Under general supervision, responsible for providing customer service to patients. Verifying all insurance benefits, obtaining authorization, and providing telephone triage.

Responsibilities:

  • -Prioritize and process all incoming referrals for designated physicians
  • -Obtain all appropriate information and documentation to process the referral and upload it to the patient chart
  • -Obtain any other pertinent medical information about the patient
  • -Ensures quality and accurate data entry of the patients' insurance information, and listed patient demographics
  • -Verify Medicare, Medicaid, or Commercial Insurance, via telephone or online systems. Re-verify all insurance monthly for referrals that are still in process
  • -Obtain necessary written or verbal consent for services either by phone, email or mail the form to the designated financial responsible party
  • -Maintain current information for critical referral contacts for all your assigned clinics
  • -Respond to calls, emails, and other inquiries regarding the status of outstanding referrals within one business day
  • -Communicate efficiently, effectively, and resolve issues pertaining to referrals
  • -Assists co-workers when necessary
  • -Other duties as assigned


Experience/Education:

  • -2+ years’ of related healthcare experience with the insurance verification & processes. Referral & Authorization experience is a must
  • -Must know the difference from HMO/PPO/MCO plans
  • -Certified Medical Assistant preferred
  • -Strong organization skills & the ability to multi-task and work independently with time management skills
  • -Understanding of medical terminology and clinical documentation
  • -Assures confidentiality of all information. Demonstrates knowledge of standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior
  • -The ability to meet deadlines, create and follow work plans, while maintaining flexibility, is necessary
  • -Must be able to resolve conflict, coordinate, listen, work independently as well as work as a team player on various projects
  • -The applicant must be personable and able to communicate well with administrative and clinical staff, both in writing and verbally
  • -High energy, flexible, optimistic attitude with ability to manage multiple demands
  • -Proven diligence and promotes a commitment to quality
  • -Must be proficient in the following software: Microsoft Word, Microsoft Excel, Microsoft Access, and Outlook
  • -Minimum High School Diploma or equivalent
  • We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, sexual orientation, gender identity, marital status, disability, protected veteran status, or any other characteristic protected by law. This job description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
  • Interested applicants may apply on our website or email resume to nortiz@myfrh.com

Salary Range:

Based on experience

Job Location:

On-Site

Posted:

Friday, September 9, 2022

Closing:

Open until filled

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