Medical Referrals & Coding Specialist

Jobgether SRL; United States; Remote; USD 40,000 - 60,000; Full time

Job summary

Jobgether SRL is seeking a detail-oriented Referrals Processor to manage incoming medical referrals, ensuring accurate data entry into medical management systems and proper provider assignments.

Responsibilities include reviewing referrals for benefits and medical necessity, escalating cases for clinical assessment, applying ICD-10 and CPT codes, and communicating with military treatment facilities and civilian providers while meeting established timelines.

Responsibilities

• Process incoming medical referrals, enter accurate data into medical management systems, and assign appropriate healthcare providers.
• Review referrals for benefits and medical necessity, elevate sensitive cases for clinical assessment, and apply ICD-10 and CPT codes.
• Communicate with military treatment facilities and civilian providers, respond to inquiries, and manage referral tasks within established timelines.

Job description

Jobgether SRL is seeking a detail-oriented Referrals Processor to manage incoming medical referrals, ensuring accurate data entry into medical management systems and proper provider assignments.

Responsibilities include reviewing referrals for benefits and medical necessity, escalating cases for clinical assessment, applying ICD-10 and CPT codes, and communicating with military treatment facilities and civilian providers while meeting established timelines.