What are the responsibilities and job description for the Referral Coordinator position at Women's Health Arizona?
Description
The Referral Coordinator will be responsible for managing the referral process, obtaining necessary authorizations, and coordinating care for patients requiring specialty services. The ideal candidate will have strong communication skills, knowledge of insurance requirements, and a commitment to ensuring timely and appropriate patient care.
Responsibilities
The Referral Coordinator will be responsible for managing the referral process, obtaining necessary authorizations, and coordinating care for patients requiring specialty services. The ideal candidate will have strong communication skills, knowledge of insurance requirements, and a commitment to ensuring timely and appropriate patient care.
Responsibilities
- Referral Management: Receive and review referral requests from healthcare providers, ensuring completeness and accuracy of information. Coordinate referrals for patients to specialists, diagnostic services, and other healthcare providers as ordered by physicians.
- Insurance Verification and Authorization: Verify patient insurance coverage and eligibility for referrals, obtaining pre-authorizations and referrals as required by insurance plans. Communicate with insurance carriers and third-party administrators to obtain authorization for specialty services.
- Appointment Scheduling: Schedule appointments for patients with specialists, diagnostic facilities, and other healthcare providers based on referral orders. Coordinate scheduling of follow-up appointments and tests as directed by healthcare providers.
- Patient Communication: Communicate with patients regarding referral appointments, scheduling instructions, and pre-appointment preparations. Provide information to patients about referral processes, insurance coverage, and financial responsibilities.
- Documentation and Record-Keeping: Maintain accurate and up-to-date records of referral requests, authorizations, and communications with patients and healthcare providers. Enter referral information into electronic health records (EHR) systems and referral tracking databases.
- Follow-Up and Coordination of Care: Follow up with patients to ensure completion of referral appointments and receipt of specialty services. Coordinate communication between referring physicians, specialists, and other healthcare providers to facilitate continuity of care.
- Quality Assurance and Compliance: Ensure compliance with insurance requirements, billing regulations, and practice policies related to referral management. Participate in quality improvement initiatives to streamline referral processes and improve patient access to specialty care.
- High school diploma or equivalent required; Associate's degree or certification in healthcare administration preferred.
- Minimum of 1-2 years of experience in a healthcare or medical office setting, preferably in a role involving referral coordination or patient scheduling.
- Knowledge of medical terminology, insurance requirements, and referral processes in healthcare settings.
- Strong communication and interpersonal skills, with the ability to interact effectively with patients, healthcare providers, and insurance carriers.
- Excellent organizational skills, attention to detail, and ability to manage multiple tasks and priorities in a fast-paced environment.
- Proficiency in using electronic health records (EHR) systems, scheduling software, and office technology.
- Commitment to providing excellent customer service and ensuring timely and appropriate patient care.
