Referral Coordinator

Paycom; Houston (TX); In loco; USD 42.000 - 54.000; Tempo pieno

Descrizione del lavoro

Paycom in Houston provides a Referral Coordinator role focused on managing referrals to specialty care. You will review incoming referrals, verify insurance, and coordinate patient appointments with specialists, while communicating clearly with patients and referring providers.

The ideal candidate has 2+ years of pre-certification experience, strong medical terminology knowledge, and solid computer skills to maintain accurate records and support efficient clinic operations.

Competenze

• High School diploma or GED required.
• 2+ years of pre-certification experience preferred.
• Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.
• Excellent communication skills, both written and verbal.
• Proficient computer skills and ability to multi-task.

Mansioni

• Receive and review referral requests from providers via fax and software systems.
• Verify insurance and eligibility information for referred patients.
• Coordinate and schedule appointments with specialist providers.
• Educate patients on the referral process and assist with paperwork.
• Maintain accurate electronic records of referrals and communications.
• Prepare reports to clinic management and ensure adherence to policies.

Conoscenze

Communication

Medical terminology

ICD-10

CPT-4

Organization

Attention to detail

Formazione

High School diploma or GED

Strumenti

Leading Reach

EHR systems

Descrizione del lavoro

Position purposeThe Referral Coordinator plays a crucial role in facilitating the referral process, ensuring that patients receive timely access to specialty care and services. This position requires excellent organizational and communication skills, as well as strong commitment to patient satisfactionResponsibilities/Duties/Functions/Tasks:Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.Referral Management:Receive and review referral requests from primary care physicians and other healthcare providers via fax and referral software management systems (ie: Leading Reach)Verify insurance and eligibility information for referred patients.Ensure that all referral documentation is complete and accurate.Coordination and Scheduling:Coordinate and schedule appointments for referred patients with our specialist providers.Communicate appointment details and instructions to patients, including any necessary preparations.Patient Communication:Act as the primary point of contact for referred patients, addressing their inquiries and concerns promptly and professionally.Educate patients on the referral process and assist with any required paperwork.Documentation and Record Keeping:Maintain accurate and organized electronic records of referrals, authorizations, and patient interactions.Maintain communication with referring providers regarding status of referralsPrepare and submit necessary reports to clinic management.Quality Assurance:Ensure that all referral processes adhere to clinic policies and regulatory guidelines.Continuously assess and improve referral coordination procedures for maximum efficiency and patient satisfaction.Light data entry and other related office duties.Other duties as assigned.QualificationsEducation: High School diploma or GED.Experience: Minimum of two (2) years of pre-certification experience required.Requirements for Level I Status:Entry level (1-4 years’ experience) and/or meet the basic requirements of the job with the need for additional supervision.Excess of 4 years’ experience if meeting only the basic requirements of the job with need for additional supervision.Additional Qualifications: Proficient knowledge of medical terminology, ICD-10 and CPT-4 codes.Performance Requirements:Excellent communication skills, both written and verbal.Proficient technical (computer) skills.Ability to multi-task and prioritize.Self-motivated with initiative.Strong sense of ethics.