Demo

Referral Coordinator

Kintegra Health
Gastonia, NC Full Time
POSTED ON 1/24/2025
AVAILABLE BEFORE 4/23/2025

Title : Referral Coordinator

Department : Customer Care

Status : Hourly

Location : Customer Care Office

Reports To : Customer Care Supervisor

Direct Reports : None

Summary of Position | Under the direct supervision of the Customer Care Supervisor, this position is responsible in obtaining information, insurance verification and authorization required for proper patient treatment and referrals in a timely and accurate manner.

Minimum Qualifications : The following qualifications are the minimum necessary to adequately perform this job. However, any equivalent combination of experience, education, and training which provides the necessary knowledge, skills, and abilities would be acceptable, subject to any legal and / or regulatory requirements

Education : High School Diploma or GED certificate required; two years related experience and / or training; equivalent combination of education and experience.

Experience

  • Basic skills using MS Excel and MS Word.
  • Ability to handle a high volume of patient flow with comfort and confidence.
  • Knowledge of ICD-9 and CPT codes for the purpose of authorizations.
  • Knowledge of insurance plans and their rules.

Certification(s) / Licensure : None

Key Responsibilities

  • Must be able to sit, stand and walk for long periods of time
  • Ability to read and understand the English language
  • Ability to effectively maintain confidentiality of records and communicate with all levels of personnel
  • Receive, track and obtain insurance authorization from in-network and out-of-network insurance carriers for referred patient and Follow-Up visits with Specialty care providers.
  • Process physician referral orders (EMG, CT, MRI, etc.) using Allscripts (EMR system). This includes obtaining any insurance authorization needed.
  • Coordinate new therapy referrals for insurance plans that require authorization (AHCCCS, work comp, etc). This includes obtaining any insurance authorization needed.
  • Accurately enter notes into Allscripts (EMR system) regarding letters or correspondence from insurance companies regarding insurance authorization or other notifications. These documents should also be scanned into the appropriate patients chart in Allscripts (EMR system).
  • Remain updated with therapy & radiology location insurance contracts.
  • Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.
  • Documents all interactions on an account with a Note.
  • Ability to write simple correspondence.
  • Ability to effectively present information in one-on-one and small group situations to patients, clients, and other employees of the organization.
  • Ability to apply common sense understanding to carry out detailed written or oral instructions.
  • Kintegra Health Core Requirements

    1. Patient First - An approach to care that holds primary, the well-being and desires of the patient

    2. Build not Blame - Focusing first on finding fault with the process rather than the person

    3. Integrity and Honesty - Fostering an acceptance of openness, honesty, and fairness in words, deeds and the use of organizational resources judiciously for both internal and external customers

    4. Cooperation and Flexibility - Related to an internal believe that we function as part of an interdependent team with only shared gains or losses thereby committed to assisting whenever possible beyond the prerequisite job description

    5. Culturally Sensitive - Always working toward increasing one's ability to understand, communicate with, effectively interact and care for people across cultures, while having an acute awareness of one's own culture.

    Kintegra Health has implemented Covid-19 protocols for our current employees and new hires. We are committed to improving our society. For further information please reach out to Human Resources at humanresources@kintegra.org.

    We are an equal opportunity employer and value diversity.

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Referral Coordinator?

    Sign up to receive alerts about other jobs on the Referral Coordinator career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $41,365 - $50,783
    Income Estimation: 
    $55,044 - $66,097
    Income Estimation: 
    $55,153 - $70,123
    Income Estimation: 
    $74,062 - $95,293
    Income Estimation: 
    $41,365 - $50,783
    Income Estimation: 
    $55,044 - $66,097
    Income Estimation: 
    $55,044 - $66,097
    Income Estimation: 
    $55,153 - $70,123
    Income Estimation: 
    $37,598 - $46,086
    Income Estimation: 
    $41,365 - $50,783
    Income Estimation: 
    $39,690 - $49,584

    Sign up to receive alerts about other jobs with skills like those required for the Referral Coordinator.

    Click the checkbox next to the jobs that you are interested in.

    • Administrative Support Skill

      • Income Estimation: $39,856 - $50,745
      • Income Estimation: $58,860 - $83,585
    • Call Screening Skill

      • Income Estimation: $39,522 - $50,798
      • Income Estimation: $36,827 - $46,853
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Kintegra Health

    Kintegra Health
    Hired Organization Address Gastonia, NC Full Time
    Job Description Job Description This position will require you to float within our Gaston County Kintegra Clinics and ma...
    Kintegra Health
    Hired Organization Address Gastonia, NC Full Time
    Overview We are looking for a Bilingual Customer Care Representative to join our team. Under the direct supervision of t...
    Kintegra Health
    Hired Organization Address Gastonia, NC Temporary
    Job Description Job Description Overview We are looking for a Health Information Management Clerk to join our family. Un...
    Kintegra Health
    Hired Organization Address Charlotte, NC Full Time
    Title: Pharmacy Technician Department: Pharmacy Status: Hourly Location: Various Clinics Reports To: Pharmacist Direct R...

    Not the job you're looking for? Here are some other Referral Coordinator jobs in the Gastonia, NC area that may be a better fit.

    Referral Coordinator

    Catawba Pediatric Associates, PA, Hickory, NC

    Referral Coordinator

    Centerwell, Gastonia, NC

    AI Assistant is available now!

    Feel free to start your new journey!