Referral Coordinator

LA Medical Associates LLC; 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

Overview

The Referral Coordinator plays a crucial role in the healthcare system by managing patient referrals to ensure seamless transitions between care providers. This position requires a detail-oriented individual with strong organizational skills and a deep understanding of medical terminology and coding practices. The Referral Coordinator will work closely with healthcare professionals, patients, and insurance companies to facilitate efficient referral processes while adhering to HIPAA regulations.

Responsibilities

• Manage and coordinate patient referrals to specialists and other healthcare providers.
• Verify insurance eligibility and benefits for referred services.
• Maintain accurate medical records and documentation related to referrals.
• Utilize coding systems such as ICD-10 for proper billing and record-keeping.
• Communicate effectively with patients regarding their referral status and appointment details.
• Collaborate with medical office staff to ensure timely processing of referrals.
• Ensure compliance with managed care protocols and HIPAA regulations.
• Assist in the training of new staff on referral processes and medical office procedures.

Requirements

Skills

• Must have previous referral Issuing and Authorization experience
• Proficiency in medical coding, particularly 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 within a healthcare setting.
• Knowledge of HIPAA regulations to maintain patient confidentiality.
• Excellent organizational skills with attention to detail.
• Strong communication skills, both verbal and written, to interact effectively with patients and healthcare providers.
• Ability to work independently as well as part of a team in a fast-paced environment.