Care Access Navigator: Referrals & Patient Support

Jobtome; Ormond Beach (FL); Vor Ort; USD 22.000 - 26.000; Vollzeit

Zusammenfassung

Jobtome is seeking a Referral Coordinator in Ormond Beach, FL to manage specialty care referrals for patients. The role requires coordinating external consultations requested by primary care physicians, researching requests for medical necessity, and maintaining proper documentation.

You will handle scheduling, verify insurance, register patients, and communicate with providers and patients to resolve issues.

Qualifikationen

• High school diploma or equivalent.
• 1+ year experience in a medical office or healthcare setting.
• Familiarity with scheduling systems, insurance verification, and patient registration processes preferred.

Aufgaben

• Processes patient referrals to specialty providers and facilities while adhering to protocol.
• Ensures referrals are addressed in a timely manner, prioritizing urgent items appropriately.
• Reviews documentation to ensure medical necessity of the referral requests.
• Prepares and submits service denials on non-compliant referrals; reviews with Director or Supervisor prior to submission to payor as needed.
• Prepares medical records to accompany referrals with relevant clinical information for the specialist.
• Acts as a resource for patients or providers with questions about referrals.
• Maintains log of all referrals processed and submits it monthly to District Manager or Supervisor.
• Communicates referral issues with District Manager or Supervisor in a timely manner.

Kenntnisse

Customer service

Organization

Attention to detail

Multitasking

Team-oriented

Ausbildung

High school diploma or equivalent

Tools

Scheduling systems

Insurance verification

Patient registration

Jobbeschreibung

Jobtome is seeking a Referral Coordinator in Ormond Beach, FL to manage specialty care referrals for patients. The role requires coordinating external consultations requested by primary care physicians, researching requests for medical necessity, and maintaining proper documentation.

You will handle scheduling, verify insurance, register patients, and communicate with providers and patients to resolve issues.