Referral Coordinator- Neurosurgery

Faculty Physicians Inc.; Baltimore (MD); On-site; USD 34,000 - 52,000; Full time

Job summary

University of Maryland Faculty Physician's Inc. seeks a detail‑oriented Medical Office Clerk to manage referrals and preauthorization processes, supporting patients and providers in obtaining services.

Responsibilities include data entry, insurance coordination, and maintaining medical records with a focus on accuracy and compliance. Prior office experience and familiarity with billing systems are preferred.

Qualifications

• High school diploma or GED required.
• Two years related medical office experience.
• Knowledge of payer requirements for referrals and preauthorization.
• Knowledge of GE/IDX or similar billing system.
• Knowledge of ICD-10 and CPT coding.
• Medical terminology preferred.

Responsibilities

• Enter referrals into database and provide pre-admission counseling.
• Perform referral activities including pre-registering patients and collecting demographic/insurance data.
• Input and update patient demographic and financial data; track appointment compliance.
• Maintain patient medical records and process medical releases.
• Respond to patient inquiries regarding insurance coverage with strong customer service.
• Audit admission paperwork for accuracy and completeness; correct information in the system.
• Complete mandatory trainings to comply with HR and health requirements.

Skills

Customer service

Data entry

Preauthorization knowledge

Billing software

Medical terminology

Education

High school diploma or GED

Tools

GE/IDX billing system

Job description

UMMC - Medical Center
22 S. Greene St.
Baltimore, MD 21201, USA

Under general supervision, ensures that all referrals from Primary Care Physicians are handled according to practice and payer guidelines and that patients receive appropriate support in obtaining needed services. Ensures that referral and pre-authorization activities are undertaken in order to provide maximum patient and provider satisfaction and maximum reimbursement.

ESSENTIAL FUNCTIONS

• Accepts and enters referrals into database. Provides pre-admission and financial counseling, as needed.
• Performs referral activities for patients including pre-registering patients during intake process. Contacts referral sources to obtain demographic and insurance data.
• Inputs and updates all pertinent demographic and financial data. Tracks patient compliance with referral appointment. Performs clerical tasks related to the maintenance of all patient medical records (including scanning records and processing medical records).
• Performs clerical tasks related to the input and maintenance of all patient medical records (including scanning records and processing medical releases).
• Investigates and responds to patient inquiries and complaints regarding insurance coverage. Utilizes strong customer service abilities to assist patients.
• Audits paperwork and files on each admission to assure accuracy and completion of information obtained and paperwork completed. Enters necessary corrections on admission information in computer system.
• Completes mandatory employee health, workers compensation, HR processes, and other training and requirements in required timeframe to insure compliance with all FPI rules and regulations.

EDUCATION and/or EXPERIENCE

• High school diploma orequivalent (GED)
• Two years related medical office experience
• Current knowledge of payer requirements for referrals and preauthorization
• Knowledge of GE/IDX or similar computerized billing system
• Knowledge of ICD-10 and CPT coding
• General understanding of back office operations
• Medical terminology preferred

Total Rewards
The referenced base salary range represents the low and high end of University of Maryland's Faculty Physician's Inc. salary range for this position.Some candidates will not be eligible for the upper end of the salary range. Exact salary will ultimately depend on multiple factors, which may include the successful candidate's geographic location, skills, work experience, market conditions, internal equity, responsibility factor and span of control, education/training and other qualifications. University of Maryland Faculty Physician's Inc. offers a total rewards package that supports our employees' health, life, career and retirement.More information can be found here:https://www.umfpi.org/jobs/summary-employee-benefits .

Qualifications

Skills

Behaviors

Motivations

Education

Experience

Licenses & Certifications

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.