Medical Referral Coordinator - Rockwall and Mesquite

Essential Job Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Prioritize referrals according to level of urgency, schedules patient appointments as necessary and communicates referral information to patients.
• All STAT and ASAP referrals are processed within one business day. Routine referrals should be processed within 2 business days.
• Follow up on any specialty/provider which has not sent summaries/reports to the office.
• Ensure complete and accurate registration, including patient demographic, current insurance information.
• Assemble information concerning the patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialty.
• Maintain referrals tracking system and up to date referrals appropriate documentation of referrals to promote team awareness.
• Patients are notified verbally and given/sent written confirmation regarding their appointment time, location, special instructions.
• Coordinate appointments as needed with outside facilities and specialists.
• Follow up on prior authorizations is performed at least weekly and notes made in the referral notes section.
• Follow up on pending referrals on a daily basis.
• Provides a standard of excellence as it relates to customer service and satisfaction for all customers.
• Communicates with all stakeholders, staff, providers, payers and patients as appropriate.
• Performs other duties as required.

Supervisory Responsibilities

• This position has no supervisory responsibilities.

Physical Demands

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• While performing the duties of this job the employee is regularly required to work standing up, walk, use hands to operate tools and equipment and must be able to exert regularly up to 10 pounds of force, frequently exert 30 pounds of force and occasionally exert 50 pounds of force to constantly perform the essential job functions. The employee will be frequently required to reach with hands and arms, bend, balance, kneel, crouch, crawl, push, and pull. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus. The employee is subject to environmental conditions; protection from weather conditions but not necessarily from temperature changes. The worker is subject to noise; there may be sufficient noise to cause the worker to shout in order to be heard above ambient noise level.

Required Education and Experience

• High School diploma or equivalent required.
• Up to one (1) year of relevant work experience required.
• Experience with Web IVRs and obtaining referrals/authorizations for multiple payers strongly preferred.
• Healthcare experience in a clinical setting, preferably within the Medicare HMO population is a plus.
• A valid driver's license in the State of employment is required; position may require travel within the market.
• Bilingual fluency in English and Spanish preferred
• Any combination of education, training, and experience which demonstrates the ability to perform the duties and responsibilities as described including related work experience.

Preferred Education and Experience

• BA/BS Degree
• Previous experience in healthcare
• Relevant or any other job-related vocational coursework
• 1 year (Preferred) Customer Service

Job Type: Full-time

Pay: $16.00 - $22.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday
• No weekends

Education:

• High school or equivalent (Preferred)

Experience:

• Insurance verification: 1 year (Preferred)
• referral coordination: 1 year (Preferred)

Language:

• Spanish (Preferred)

Ability to Relocate:

• Rockwall, TX 75032: Relocate before starting work (Required)

Work Location: In person

Salary : $16 - $22