What are the responsibilities and job description for the Referral Coordinator position at MyCare Medical Group?
Job Summary
The Referral Coordinator will be responsible for preparing and processing all managed care referral paperwork. They will manage the process of scheduling patients for exams and procedures with specialists and providers outside of the primary care physician's office. This group is looking for someone who is interested in being part of a dynamic team that focuses on excellent service to others while handling clerical, environmental, and organizational tasks.
Job Responsibilities
- Process patients’ referrals and ensure that patients are scheduled for their recommended non-PCP appointments
- Liaise between Medicare patients/offices and the providers, making sure to effectively process, monitor and communicate all aspects of the patients’ referrals
- Maintain list of all preferred specialists and ancillary providers for the assigned area
- Obtain referral authorizations if required by the health plan
- Call the referred Specialists and schedule appointment for patients
- Communicate respectfully and effectively with patients regarding appointments
- Follow guidelines/workflows to complete & log all referrals processed through system
- Meet monthly/quarterly goals regarding utilization and process of ordered referrals
- Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
- Assist with coordination of activities related to insurance pre-certification/authorization
- Other duties as assigned
Job Qualifications
- High school diploma or GED equivalent
- Two (2) years of experience as a Referral Coordinator with experience working with the following payors:
- Cigna
- Humana
- WellCare
- Superior
- Aetna
- UnitedHealthcare
- BlueCross BlueShield
- Molina Healthcare
- Bilingual (Spanish) preferred.
BENEFITS
- Comprehensive benefits package, including Health, Vision, Dental, and Life insurances
- FSA and Life Assistance Program (EAP)
- 401(k) Retirement Plan
- Health Advocacy, Travel Assistance, and My Secure Advantage
- PTO Accrual and Holidays
#ZIP
#INDNP
Salary : $13 - $15
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