Referral Coordinator - Full Time - Days - Sister Rose Vincent FMC

Mohawk Valley Health System; City of Utica (NY); On-site; USD 10,000 - 60,000; Full time

Job summary

Join a forward-thinking healthcare organization as a Referral Coordinator, where you'll play a vital role in managing patient referrals and ensuring timely communication with specialists. This full-time position offers you the opportunity to utilize your medical office experience and knowledge of insurance processes while contributing to patient care. You'll be responsible for prioritizing referral requests, maintaining accurate records, and collaborating with healthcare providers. If you're organized, detail-oriented, and passionate about healthcare, this is the perfect opportunity to make a meaningful impact in your community.

Qualifications

• 1+ year of prior medical office experience required.
• Knowledge of medical terminology essential.

Responsibilities

• Receive and prioritize referral requests from various sources.
• Contact specialists to arrange appointments and track completion.
• Maintain files for completed referrals and communicate updates.

Skills

Medical Terminology

Insurance Knowledge

Communication Skills

Organizational Skills

Education

High School Diploma

Job description

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Referral Coordinator - Full Time - Days - Sister Rose Vincent FMC

Under the supervision of the Office Manager, the Referral Coordinator receives requests for referrals from various sources and prioritizes their completion in a timely manner, including meeting insurance requirements, scheduling, completing necessary forms, providing appropriate records, and communicating appointments and preparations to patients.

Core Job Responsibilities

1. Receive requests for referrals and prioritize
2. Enter orders and route to provider for signature – track successful completion
3. Determine insurance/worker compensation carrier requirements
4. Contact specialists/central scheduling to arrange appointments
5. Interact with providers to obtain information and clarification on orders
6. Run tracking reports and work to resolve issues
7. Maintain files for completed referrals/worker compensation cases
8. Send reminder letters for annual mammogram appointments
9. Log out-of-network referrals
10. Maintain working knowledge and obtain updates as necessary of all insurance providers ACP participates with
11. Update patient demographics, including insurance coverage, and communicate to registration
12. Provide backup coverage as assigned
13. Attend monthly staff and referral meetings
14. Perform other duties as required

Education/Experience Requirements

Required:

• High school diploma or equivalent
• At least 1 year of prior medical office experience and knowledge of medical terminology

Preferred:

• Experience with insurance company rules and regulations

Licensure/Certification Requirements

Disclaimer

Qualified applicants will receive consideration for employment without regard to age, race, religion, national origin, ethnicity, gender (including pregnancy, childbirth, etc.), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates may be required to undergo a background verification with an external vendor.

Req Id 94506
Department: FAMILY MEDICINE CENT
Shift: Days
Shift Hours Worked: 8.00
FTE: 1.06
Work Schedule: UFCSM
Employee Status: A1 - Full-Time
Union: 2006 - UFCW
Pay Range: $17.77 - $22.22/Hourly