Healthcare Referral Specialist (ICD-10 & HIPAA)

LA Medical Associates; West Palm Beach (FL); On-site; USD 42,000 - 56,000; Full time

Job summary

LA Medical Associates LLC is seeking a detail-oriented Referral Coordinator to manage patient referrals, verify insurance, and maintain accurate records. You will apply ICD-10/ICD-9 coding and work with Athena EMR while upholding HIPAA standards.

The role requires strong organizational and communication skills, enabling collaboration with patients, providers, and insurance companies in a fast-paced office.

Qualifications

• Must have previous referral issuing and authorization experience.
• Proficiency in medical coding, ICD-10 and ICD-9.
• Proficiency with Athena EMR.
• Strong understanding of managed care systems and medical records management.
• Familiarity with medical terminology and office procedures in healthcare.
• Knowledge of HIPAA regulations to maintain patient confidentiality.
• Excellent organizational skills with attention to detail.
• Strong verbal and written communication to interact with patients and providers.
• Ability to work independently and in a team in a fast-paced environment.

Responsibilities

• Manage and coordinate patient referrals to specialists and other providers.
• Verify insurance eligibility and benefits for referred services.
• Maintain accurate medical records and referral documentation.
• Use ICD-10 billing codes for proper record-keeping.
• Communicate referral status and appointment details to patients.
• Collaborate with medical office staff to ensure timely referrals.
• Ensure compliance with managed care and HIPAA regulations.
• Assist in training new staff on referral processes.

Skills

Referral authorization

ICD-10 coding

Athena EMR

HIPAA compliance

Medical terminology

Organizational skills

Communication skills

Teamwork

Job description

LA Medical Associates LLC is seeking a detail-oriented Referral Coordinator to manage patient referrals, verify insurance, and maintain accurate records. You will apply ICD-10/ICD-9 coding and work with Athena EMR while upholding HIPAA standards.

The role requires strong organizational and communication skills, enabling collaboration with patients, providers, and insurance companies in a fast-paced office.