Referral Coordinator LLH

Riverside Health; United States; On-site; USD 26,000 - 34,000; Full time

Benefits offered by this job

great benefits and perks

Job summary

Riverside Health in Newport News, VA is seeking a detail-oriented office coordinator to manage insurance referrals and authorizations before the date of service. You will update chart records, fax relevant documents, and liaise with transition coordinators to keep authorizations current.

The role requires a high school diploma and 1 year of medical office experience, with a strong focus on customer service and accurate data handling. Riverside Health emphasizes care quality and team support.

Qualifications

• Education: High school or equivalent is required.
• Experience: 1 year in a medical office is required.

Responsibilities

• Coordinate completion for insurance mandated referrals and authorizations before the date of service.
• Update patient chart records with referral information.
• Flag and fax relevant medical records.
• Contact transition coordinators with updated insurance authorization information.
• Obtain insurance prior authorizations to ensure timely service.
• Verify insurance and obtain estimates.
• Identify and report any potential compliance concerns to the sleep supervisor.
• Perform end-of-month duties including admissions statistics reports and monthly referrals research.
• Provide exceptional customer service in phone interactions and data collection for referrals.
• Serve as an information resource for services, coverage criteria, and alternatives.
• Perform office duties such as filing, maintaining white boards, and ordering office supplies.
• Act as timekeeper for the department.

Skills

Customer service

Communication

Education

High school diploma or equivalent

Job description

Newport News, Virginia Hiring Range $18.90 - $24.60/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Overview

Works under the supervision of the Director of Admissions. Primarily responsible for coordinating completion for insurance mandated referrals and authorizations in a timely fashion prior to the date of service, updating patient chart records with necessary referral information, flagging and faxing appropriate medical records, contacting transition coordinators with updated insurance authorization information.

What you will do

• Obtains insurance prior authorizations prior to date of service to ensure quality patient care.
• Insurance is verified and estimates are obtained.
• Reports any potential compliance concerns to sleep supervisor.
• Performs end of month duties including but not limited to Admission Statistics Reports, research of pending referrals, compilation of monthly reports etc.
• Provides exceptional customer service by tone of voice, willingness to help, using clinical knowledge to collect complete and appropriate data for referrals, and to field phone calls efficiently and appropriately.
• Serves as an information resource for all applicable services including contact information, coverage criteria, availability of services and alternatives to applicable services when appropriate.
• Performs office duties including filing, maintaining white board, managing and coordinating the ordering of office/par level supplies and assisting with other office procedures as needed.
• Functions as a timekeeper for the department.

Qualifications

• Education , High school or equivalent (Required)
• Experience 1 year Medical Office experience (Required)

If loving your work is important to you, consider a career at Riverside. By joining our team, you can make a difference in people's lives. Our mission is to care for others as we would care for those we love. We extend that sense of caring to every patient, resident and customer, as well as to each member of our team. We offer care at all stages of life, in hundreds of locations, giving you room to grow your career. At Riverside Health, your trust and safety are our top priorities.

Benefits & Perks

• great benefits and perks