Healthcare Intake & Referrals Coordinator

American Health Communities

Nashville (TN)

On-site

USD 36,000 - 48,000

Full time

6 days ago
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Benefits offered by this job

Affordable medical/dental/vision
Generous paid time off
TeleDoc access
Disability plans
EAP
401K with company match
Referral bonus program

Job summary

American Health Plans, a Nashville-based division, seeks a Referral Intake Coordinator to receive, screen, and process referrals and intake information. You will verify benefits, payment methods, and obtain prior authorizations to ensure services are reimbursable before admission.

The role requires strong communication skills and healthcare experience; flexibility and teamwork are essential in a fast-paced environment.

Qualifications

  • High School Diploma required.
  • At least 3 years in a healthcare-related environment preferred.
  • Excellent communication and active listening skills.

Responsibilities

  • Receive, screen and process all referral information.
  • Verify benefits, payment method and amount.
  • Obtain prior authorization to ensure services are reimbursable.
  • Assign payer category as directed by facility personnel.
  • Scan information back to requesting facility.
  • Ensure timely processing of referrals/admissions.
  • Back-up for review of potential insurance contracts.
  • Maintain ethical standards and integrity in daily tasks.
  • Demonstrate initiative and responsibility for team goals.
  • Foster a positive environment and collaborate with coworkers.
  • Treat colleagues with respect and embrace diversity.

Skills

Communication skills

Education

High School Diploma

Tools

Microsoft Office
HRIS
Scheduling systems

Job description

American Health Plans, a Nashville-based division, seeks a Referral Intake Coordinator to receive, screen, and process referrals and intake information. You will verify benefits, payment methods, and obtain prior authorizations to ensure services are reimbursable before admission.

The role requires strong communication skills and healthcare experience; flexibility and teamwork are essential in a fast-paced environment.

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