What are the responsibilities and job description for the Referral Coordinator position at Metropolitan Family Medical Clinic?
Referral/authorization process for multiple payer sources. Offers guidance to providers on the ordering of referrals as needed. Processes and ensures completion of referral orders to specialists. Works under the supervision of the Referrals Manager to ensure accurate and timely review and processing of authorizations. Requires exceptional accuracy, organization, communication and office and interpersonal skills. Performs other duties as needed. Bilingual a plus
ESSENTIAL FUNCTIONS AND DELIVERALBES:
- Processes incoming referrals requests daily.
- Reviews referral orders for accuracy of codes and supporting documentation.
- Receives, processes and verifies accuracy of authorizations.
- Receives and processes specialty notes to primary care physician to facilitate on-going authorizations for continued care.
- Serves as liaison and authorization resource to clinic staff, outside medical groups and patients.
- Knowledgeable and familiar with insurance policies, referral and authorization processes. Works with insurance companies / managed care groups to ensure pre-visit information is sent to patients as needed.
- Utilizes exceptional customer service skills in performing duties and assists with problematic referral and authorization process. Ability to resolve problems in a timely manner.
- Contacts insurance company(s) to verify patient eligibility and benefits.
- Perform other duties as assigned by the Manager.
Job Type: Full-time
Pay: $18.00 - $20.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Education:
- High school or equivalent (Preferred)
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Language:
- Spanish (Preferred)
Work Location: In person
Salary : $18 - $20
