What are the responsibilities and job description for the Referrals Coordinator position at Diabetes and Glandular Disease?
Job Details
Level
Experienced
Job Location
DGD Clinic - San Antonio, TX
Position Type
Full Time
Education Level
High School
Travel Percentage
None
Job Shift
Description
Diabetes & Glandular Disease Clinic, P.A. Job Description
Referral Coordinator
Reports to : Revenue Cycle Manager Department : Business Office
Classification : Non-Exempt / Full Time Effective Date : 01 / 21 / 2022
The following statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
SUMMARY :
The Referral Coordinator is responsible for the processing and coordination of patient referrals to help provide the best patient care team. The Referral Coordinator assists providers and patients, when necessary, with the referral process for specialty care, diagnostic services to ensure continuity of care utilizing the protocols required by various health plans.
DUTIES AND RESPONSIBILITIES :
- Reviews referrals to confirm or obtain insurance authorization. If no authorization, returns referral to referring provider's office via electronic medical record system.
- Explains whether provider participates with patient's insurance and if not, describes options for payment.
- Contact specialty partners and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis.
- Be the navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns regarding their referrals.
- Answer telephone promptly and in a polite and professional manner, following call center scripts.
- Handles all incoming telephone calls from patients, makes appointments, and answers general questions and inquires.
- Receives, directs, and relays telephone and fax information.
- Responsible for inputting very detailed information on the patients using a variety of computer screens.
- Explains all current fees and patient's financial responsibility and informs patient of payment required for existing balances due at or before next appointment.
- Provides information to callers on proactive policies and procedures such as what is required following physician template, in preparation for appoint (insurance, id, etc.).
- Secures patient information and maintains patient confidence by completing and safeguarding medical records, completing diagnostic and procedure coding and keeping patients information confidential.
- Follows up with patients.
Skills / Experience :
Education :
High school diploma or equivalent.
Experience : Minimum of 1 year of relevant experience and / or training, or equivalent combination of education and experience in a medical call center role.
Diabetes & Glandular Disease Clinic, P.A. Job Description
Performance Requirements :
Knowledge :
Skills :
Abilities :
Equipment Operated : Normal office environment.
Work Environment :
Physical Requirements : Must possess the physical and mental abilities to perform the tasks normally associated with a Front Desk position such as sitting for six to eight hours per day, walking, bending, and reaching upon occasion. Occasionally lifting up to 30 lbs. of supplies and equipment and helping with patient transport and transfer. Some stress when dealing with priorities and anxious patients.
About Diabetes & Glandular Disease Clinic, P.A. :
The Diabetes & Glandular Disease Clinic, P.A. (DGD) offers the best in treatment for
hormonal and metabolic disorders such as type 1 and 2 diabetes, gestational diabetes, thyroid disease, osteoporosis, lipid disorders (high cholesterol), pituitary / adrenal gland problems, menstrual disorders and hirsutism. All our doctors are board-certified in Endocrinology & Metabolism, a sub-specialty of Internal Medicine. Our renowned clinic is located in the South Texas Medical Center. DGD is an Equal Opportunity Employer. We do pre-employment drug screening and background verification checks. DGD offers competitive salary, PTO, holiday pay, medical / dental / vision insurance, disability benefits, life insurance and a 401(k) plan.