Ophthalmic Referral Coordinator – Detail‑Oriented

Eye Specialists of Mid Florida; Winter Haven (FL); On-site; USD 19,000 - 28,000; Full time

Benefits offered by this job

Health Insurance

401(k)

401(k) Matching

Paid Time Off

Paid Training

Professional Development Assistance

Vision Benefits & Discounted Services

Employee Assistance Program

Life Insurance

Referral Program

Opportunities for Advancement

Job summary

Eye Specialists of Mid-Florida P.A. is seeking a Referral Coordinator to ensure authorizations and referrals are secured before patients arrive for appointments.

You will process referrals on behalf of patients and coordinate with primary care physicians and ophthalmology specialists to obtain necessary approvals. The role requires a high school diploma or GED, at least 1 year of ophthalmic experience, and knowledge of Medicare/Medicaid, CPT/ICD coding, and insurance verification.

Qualifications

• High school diploma or GED required
• Bachelor or Associate Degree preferred
• One year experience in an Ophthalmic setting required
• Experience in Ophthalmic insurance verification preferred

Responsibilities

• Retrieves the appointment list of patients by running appropriate reports five to seven days before the visit and review each account.
• Verify whether we have a referral or authorization already on file or if a new request needs to be created.
• Creating a referral or authorization request using the CPT Procedure code fax form and sending it with all appropriate patient chart notes for approval to the primary care physician.
• Keeping a running log of what has been requested from the primary care physicians and following up on the requests if the referral or authorizations have not been received.
• Communicates with the primary care physicians or other specialists' providers in a pleasant and expeditious manner for any referral or authorization requests and/or troubleshooting
• Properly documents authorization details in the patient’s “alert” section of the medical record
• Correct any demographic or insurance information that is not accurate
• Input any demographics, referrals, authorizations, or patient information into the practice management software.
• Obtains insurance referrals or authorization for emergency walk-in patients
• Scan referrals or authorizations into the patients' demographics in the practice management software

Skills

Problem solving

Attention to detail

Medicare/Medicaid knowledge

Ophthalmology coding (ICD/CPT)

Communication

Team-oriented

Multi-tasking

HIPAA compliance

Data entry

Interpersonal skills

Education

High school diploma or GED

Bachelor or Associate Degree preferred

Job description

Eye Specialists of Mid-Florida P.A. is seeking a Referral Coordinator to ensure authorizations and referrals are secured before patients arrive for appointments.

You will process referrals on behalf of patients and coordinate with primary care physicians and ophthalmology specialists to obtain necessary approvals. The role requires a high school diploma or GED, at least 1 year of ophthalmic experience, and knowledge of Medicare/Medicaid, CPT/ICD coding, and insurance verification.